The Texas PC132 form is a crucial document for individuals seeking to obtain an escrow officer license in Texas. This form requires personal identification, employment history, and information regarding any criminal history. Completing the Texas PC132 form accurately is essential for a smooth licensing process; click the button below to get started.
The Texas PC132 form is a crucial document for individuals seeking to become licensed escrow officers in the state of Texas. This form serves multiple purposes, primarily ensuring that applicants meet the necessary qualifications and comply with state regulations before they can act in this important role. The application requires personal details such as the applicant's full name, contact information, and social security number, along with specific disclosures regarding any past criminal history or professional licensing issues. Additionally, the form includes sections that must be completed by the sponsoring title agent or direct operation, emphasizing the collaborative nature of the licensing process. A licensing fee is also required, along with any necessary bonds or endorsements. Importantly, the form underscores the legal implications of acting as an escrow officer without a valid license, highlighting the potential for disciplinary action. Understanding the nuances of this form is essential for those aspiring to work in the title insurance industry, as it lays the groundwork for a career built on trust and compliance.
TDI USE ONLY
FPCARD: ナ
Texas Department of Insurance
CO. ID:
LIC.#:
Property & Casualty Program - Title Division, Mail Code 106-2T
PID:
EXP:
333 Guadalupe コ P. O. Box 149104, Austin, Texas 78714-9104
ISSUE:
RIDER:
ナ
512-322-3482 telephone コ 512-305-7426 fax コ www.tdi.texas.gov
R.R.#:
OTHER:
DSSOLFDWLRQ#IRU#WH[DV#HVFURZ#RIILFHUᄊV#OLFHQVH#
***ACTING AS AN ESCROW OFFICER BEFORE YOUR LICENSE IS ISSUED IS A VIOLATION OF §2652.001 AND IS SUBJECT TO DISCIPLINARY ACTION INCLUDING FINES AND LICENSE DENIAL AND/OR REVOCATION (see Title Bulletin No. 164)***
INSTRUCTIONS
1.Applicant (and employer attorney if applicable) must complete Section A.
2.Sponsoring title agent/direct operation must complete Section B.
3.Licensing fee of $35.00 must be submitted.
4.Texas escrow officer's schedule bond must be attached, if needed. (If bond is already on file, rider or endorsement must be attached).
5.Fingerprints and criminal history information ᄆ#see addendum regarding requirements
SECTION A -- ESCROW OFFICER IDENTIFICATION
Mr.
1.
Name in full: Mrs. Last
First
Middle
Ms.
(No initials accepted)
2.
Residence Address
City
State
Zip
Phone No. (
)
3.
E-Mail Address
(required for notification purposes)
4. Social Security Number
5. Texas Resident
(Disclosure of Social Security Number is required by the Texas Family Code §231.302)
6.
Date of Birth
7. Driver's License #
(MM
DD YYYY)
8.
Marital Status
Single
Married
Divorced
Widowed
ナYes
No
-Li#|rx#dqvzhu#ᄈ\hvᄡ#wr#txhvwlrq#<d/#<e/#<f/#dqg2ru#<g/#|rx#pxvw#vxeplw#ruljlqdo# CERTIFIED copies of the indictment or charging document, conviction, order deferring adjudication, judgment and conditions of probation from the appropriate jurisdiction, for each and every crime or offense. You may also include letters of recommendation on your behalf. Please provide full information with dates and details on a separate sheet of paper. Application processing will be suspended until the details are received and a review is completed. If certified documents have been previously submitted to
the department, please do not resend.
9.Excluding traffic violations and first offense DWI:
a. do you currently have any pending misdemeanor or felony charges (by indictment,
information, or any other instrument) filed against you in Texas, any other state, or by
the federal government?
*ナ YES
b. have you ever been convicted of any misdemeanor or felony offense in Texas, any other
state, or by the federal government?
c.have you ever had adjudication deferred on any misdemeanor or felony charge or offense
in Texas, any other state, or by the federal government?
d. have you ever served any period or probation for any misdemeanor or felony offense in
Texas, any other state, or by the federal government?
ナNO
PC132 Rev. 08/11
Page 1 of 4
NOWH=##LI#\RX#DQVZHU#ᄈ\HVᄡ#WR#DQ\#RI#TXHVWLRQV#43#WKURXJK#4:/#\RX#PXVW#DWWDFK#D#SHUVRQDO#
STATEMENT WITH DATES AND COMPLETE DETAILS. APPLICATION PROCESSING WILL BE SUSPENDED UNTIL THE DETAILS ARE RECEIVED AND A REVIEW IS COMPLETED.
10.
Have you ever had a professional license, an insurance license or company appointment
refused, suspended or revoked in Texas or any other state?
ナ YES
ナ NO
11.
Are you now indebted to a special deputy receiver of the Texas Department of Insurance,
any insurance company, general agent or agent?
12.
Have you ever had an agency contract canceled for cause (e.g., misrepresentation,
misappropriation, etc.)?
13.
Have you ever been placed under injunction or restraining order of a court or regulatory
agency in respect to violation of any federal or state law relating to insurance or securities?
14.
Do you now have pending litigation against you alleging violation of the Texas Insurance Code
or the insurance laws of any other state?
15.
Have you ever held ownership interest in any insurance agency or company?
16.
Do you have any judgments against you held by any insurance company or insured which
are unpaid in whole or in part?
17.
Do you have any judgments against you which involved violation of the Texas Insurance Code
18.
Do you have another business name or alias?
If YES, indicate business name or alias here:
19.
Have you ever held a professional license, insurance license or company appointment under
any other name?
If YES, indicate other name(s) here:
20. Do you currently hold an escrow officer license?
YES
If YES, and you indicate you are a bona fide employee of a title insurance agent/direct operation in question No. 21, you certify by signing this application that the existing license will be canceled within 60 days or you are a bona fide employee of separate title insurance agents/direct operations. If you are a bona fide employee of separate title insurance agents/direct operations, you may be required to provide supporting documentation (see Title Bulletin No. 162).
21.Check applicable status of employment for this application:
ナI am a bona fide employee of the title agent/direct operation
ナI am an attorney
ナI am a bona fide employee of an attorney who is a Texas licensed escrow officer
EMPLOYER ATTORNEY MUST COMPLETE THE FOLLOWING ONLY IF APPLICANT CHECKED THE THIRD BOX ABOVE.
Printed name of attorney licensed as escrow officer
Signature of attorney (by signing attorney confirms escrow oiilfhu#dssolfdqwᄊv#vwdwxv#ri#hpsor|phqw,#
Sworn to and subscribed before me on ______________________________ to certify which witness my hand and seal of
office.
(Notary Seal)
Nrwdu|#Sxeolfᄊv#Vljqdwxuh#
Reminder: Securing the issuance of this license based upon a false, fictitious, or fraudulent statement or entry with regard to any material fact is subject to both disciplinary action and criminal prosecution.
Page 2 of 4
22.County(ies) in which you intend to act as an escrow officer
(MUST BE A COUNTY(IES) IN WHICH THE TITLE AGENT/DIRECT OPERATION SHOWN ON SECTION B IS LICENSED TO OPERATE)
23.Give complete details of all (including current) employment, self-employment, or unemployment during the last five
(5) years.
Dates
Employer Name
Employer Address (Street, City, State, Zip)
Title/Position
24.Give the name, street address and phone number of three (3) business or professional references from the community where you have resided for the last five years.
Name
Address (Street, City, State, Zip)
Phone
Type of Business
25.Do you understand you are not to act as an escrow officer until (1) the title agent/direct operation appointing you has actually received your license or has been notified by the Texas Department of Insurance that your license has been issued; or (2) you have been notified by the Texas Department of Insurance that your license has been issued?
26.HAVE YOU PERSONALLY ANSWERED AND UNDERSTOOD EACH QUESTION PERTAINING TO YOU ON THIS APPLICATION?
NO
Print/Type Full Legal Name
CERTIFICATION
THE STATE OF _______________________
COUNTY OF __________________________
Before me, the undersigned authority, on this day personally appeared
known to me to be the affiant, who, after being placed on his/her oath, stated that he/she has read the preceding form and that the answers, exhibits and attachments forming it are true and correct as to any factual statements contained therein.
Signature of Affiant
Notary Pxeolfᄊv#Vljqdwxuh#
NOTICE ABOUT CERTAIN INFORMATION LAWS AND PRACTICES
With few exceptions, you are entitled to be informed about the information the Texas Department of Insurance (TDI) collects about you. Under sections 552.021 and 552.023 of the Texas Government Code, you have a right to review or receive copies of information about yourself, including private information. However, TDI may withhold information for reasons other than to protect your right to privacy. Under section 559.004 of the Texas Government Code, you are entitled to request that TDI correct information that TDI has about you that is incorrect. For more information about the procedure and costs for obtaining information from TDI or about the procedure for correcting information kept by TDI, please contact the Agency Counsel Section of TDI's Legal Services Program at [email protected] or you may refer to the Corrections Procedure section on our Web sites.
Page 3 of 4
SECTION B -- TITLE AGENT IDENTIFICATION AND CERTIFICATION
Notice of Appointment of Escrow Officer by Title Insurance Agent/Direct Operation
This notice of appointment ofis for a license
to act as an escrow officer for the Title Insurance Agent/Direct Operation identified below. If and when the appointment is terminated or canceled, the Texas Department of Insurance will be properly notified.
The applicant is known to this Agent/Direct Operation to have a good business reputation, is worthy of the public trust, has reasonable experience or instruction in the field of title insurance and is qualified as an escrow officer as defined in the "Texas Title Insurance Act". I know of no fact or condition which would disqualify such applicant from receiving a license.
Appointing Title Insurance Agent/Direct Rshudwlrq#frqilupv#dssolfdqwᄊv#vwdwxv#ri#hpsor|phqw#lqglfdwhg#lq#Vhfwlrq#D#Qr1#54# of this application.
Dssrlqwlqj#Wlwoh#Lqvxudqfh#Djhqw2Gluhfw#Rshudwlrq#frqilupv#dssolfdqwᄊv#frxqw|+lhv,#ri#rshudwlrq#dv#lqglfdwhg#lq#Vhfwlrq#D# No. 22 of this application.
Appointing Title Insurance Agent/Direct Operation confirms it will not allow the applicant to act as an escrow officer until the Title Insurance Escrow Officer License has been issued by the Texas Department of Insurance.
Appointing Title Insurance Agent's/Dluhfw#Rshudwlrqᄊv#Wh{dv#Ghsduwphqw#ri#Lqvxudqfh#Frpsdq|#&#
Name of Title Agent/Direct Operation Contact Person
Frqwdfw#Shuvrqᄊv#h-mail address (required for notification purposes)
Name of Appointing Title Agent/Direct Operation
Mailing Address (P. O. Box/Street)
City, State, Zip
Full Name of Title Agent/Direct Operation Appointing Official
Title of Appointing Official
Notary Sxeolfᄊv#Vljqdwxuh#
Regular Mailing Address
Overnight Mailing Address
Title Division, Mail Code 106-2T
P.O. Box 149104
333 Guadalupe Street
Refer Questions To: (512) 322-3482
Austin, Texas 78714-9104
Austin, Texas 78701
Page 4 of 4
Filling out the Texas PC132 form requires careful attention to detail. This form is essential for those seeking to become licensed escrow officers in Texas. To ensure a smooth application process, follow these steps closely.
After completing the form, ensure all sections are filled accurately. Gather any additional documentation required, such as the bonding information and fingerprints. Once everything is ready, submit the form to the Texas Department of Insurance for processing.
The Texas PC132 form is an application for individuals seeking to become licensed escrow officers in Texas. This form must be completed by the applicant and their sponsoring title agent or direct operation. It includes sections for personal identification, employment history, and disclosure of any criminal history or previous license issues. Completing this form is a crucial step in obtaining the necessary licensing to act as an escrow officer in the state.
To successfully complete the Texas PC132 form, follow these steps:
Make sure all information is accurate and complete to avoid delays in processing.
Acting as an escrow officer before your license is officially issued is considered a violation of Texas law. Specifically, it falls under §2652.001. Engaging in this activity can lead to serious consequences, including disciplinary action, fines, and potential denial or revocation of your license. It is essential to wait for confirmation from the Texas Department of Insurance before performing any escrow duties.
To check the status of your application for the Texas PC132 form, you can contact the Texas Department of Insurance directly. Call their office at (512) 322-3482 for assistance. Be prepared to provide your full name and any other identifying information to help them locate your application. Additionally, you can visit their official website for updates and further information regarding your licensing status.
Incomplete Information: Failing to fill out all required sections can delay processing. Each field marked as required must be completed accurately.
Incorrect Social Security Number: Providing an incorrect Social Security Number can lead to complications. This number must match official records.
Missing Signature: Not signing the application can result in rejection. Ensure that both the applicant and any required witnesses sign where indicated.
Failure to Attach Required Documents: Omitting necessary documents, such as the Texas escrow officer's schedule bond, can halt the application process.
Inaccurate Employment History: Providing false or misleading information regarding employment history may lead to disqualification. Ensure accuracy in dates and details.
Ignoring Criminal History Requirements: Not disclosing all criminal history, including pending charges, can have serious consequences. Full disclosure is essential.
Using Initials Instead of Full Names: The form requires full legal names. Using initials can result in processing delays.
Incorrect Marital Status: Failing to accurately indicate marital status can lead to further inquiries. This information is crucial for background checks.
Not Understanding the Instructions: Skipping the instructions can lead to mistakes. Each section has specific requirements that must be followed closely.
The Texas PC132 form is utilized for licensing escrow officers in the state of Texas. Alongside this form, several other documents may be required to complete the licensing process. Below is a list of commonly used forms and documents that accompany the Texas PC132 form.
Gathering these documents is crucial for a smooth application process. Each document plays a specific role in verifying the applicant's qualifications and ensuring compliance with Texas regulations. Proper preparation can facilitate timely processing and approval of the escrow officer license.
The Texas PC132 form, which is used for the licensing of escrow officers, shares similarities with several other important documents in the realm of real estate and insurance. One such document is the Texas Title Insurance Agent Application. Like the PC132, this application requires detailed personal and professional information from the applicant, including their background, qualifications, and any potential conflicts that may disqualify them from receiving a license. Both forms emphasize the importance of transparency and integrity in the title insurance industry, ensuring that only qualified individuals are entrusted with handling escrow services.
Another document that mirrors the Texas PC132 is the Escrow Officer's Bond Application. This form is essential for securing the financial responsibility required of escrow officers. Similar to the PC132, it mandates the submission of personal information, including identification and proof of residency. Both documents serve to protect consumers by ensuring that escrow officers are not only licensed but also financially accountable for their actions in handling escrow funds.
The Texas Insurance License Application is also comparable to the PC132 form. This application is used by individuals seeking to become licensed insurance agents. Both documents require a thorough background check, including questions about criminal history and previous license status. This similarity highlights the regulatory framework in place to maintain high standards within the insurance industry, ensuring that only trustworthy individuals can provide insurance services.
In addition, the Texas Real Estate License Application shares characteristics with the PC132 form. Both applications necessitate the disclosure of personal and professional history, including any legal issues that could affect the applicant's ability to perform their duties. This thorough vetting process is crucial for maintaining public trust in real estate and escrow transactions.
The application for a Notary Public also has parallels with the Texas PC132. Both require a commitment to ethical standards and may involve a background check to ensure the applicant’s integrity. While the PC132 is specific to escrow officers, the Notary Public application also emphasizes the importance of trustworthiness in handling sensitive documents and transactions.
Another similar document is the Application for a Mortgage Loan Originator License. This application, like the PC132, requires applicants to provide comprehensive personal information, including their employment history and any legal issues. Both documents are part of a larger effort to regulate financial services and protect consumers from fraud and misrepresentation.
Finally, the Texas Department of Insurance's Complaint Form has some similarities with the PC132. While the complaint form is used to report issues with licensed professionals, both documents emphasize the importance of accountability and consumer protection. They both require detailed information to ensure that any complaints are taken seriously and addressed appropriately, reinforcing the integrity of the industry.
When filling out the Texas PC132 form, it is essential to follow specific guidelines to ensure a smooth application process. Here are seven important dos and don'ts:
Understanding the Texas PC132 form can be challenging, especially with the various misconceptions surrounding it. Here are some common myths and the truths behind them:
This form is designed for individuals seeking to become escrow officers, which includes attorneys and non-attorneys alike. Anyone meeting the qualifications can apply.
While completing the form is a necessary step, it does not guarantee immediate approval. The Texas Department of Insurance must review and process the application before issuing a license.
This is incorrect. Acting as an escrow officer without a valid license is a violation of the law and can lead to disciplinary action.
While applicants must provide a Texas residence address, individuals from other states may also apply, provided they meet all other requirements.
The process can take time, as it involves background checks, document submissions, and potential delays in processing. Patience is key.
All applicants must disclose any criminal history, including misdemeanors and felonies. This information is crucial for the licensing decision.
The $35 licensing fee is typically non-refundable, regardless of the outcome of the application.
Supporting documents, such as fingerprints and any required bonds, must accompany the application for it to be processed.
Being informed about these misconceptions can help streamline the application process and ensure compliance with Texas regulations. Always double-check the requirements and stay updated on any changes to the form or process.
When filling out and using the Texas PC132 form, it is important to keep the following key takeaways in mind:
By keeping these points in mind, applicants can navigate the process more smoothly and increase their chances of a successful application.