Homepage Blank Texas Pc132 Form
Outline

The Texas PC132 form is a critical document for individuals seeking to become licensed escrow officers in the state. This form is used by the Texas Department of Insurance (TDI) to gather essential information about the applicant, including personal identification details, employment history, and any prior legal issues that may affect their eligibility. It requires applicants to provide their full name, residence address, social security number, and date of birth, among other personal details. Additionally, the form includes sections that must be completed by the sponsoring title agent or direct operation, ensuring that the applicant has the necessary backing to pursue this license. A licensing fee of $35.00 must accompany the application, and if applicable, a Texas escrow officer's schedule bond should be attached. The form also addresses the importance of disclosing any criminal history, including pending charges and past convictions, which can significantly impact the application process. Furthermore, applicants must confirm their understanding of the rules governing their actions as escrow officers, emphasizing the need for compliance with Texas laws. Overall, the Texas PC132 form serves as a comprehensive tool for both applicants and the TDI to facilitate the licensing process while maintaining the integrity of the escrow profession.

Sample - Texas Pc132 Form

 

 

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 P. O. Box 149104, Austin, Texas 78714-9104

 

ISSUE:

RIDER:

 

512-322-3482 telephone 512-305-7426 fax 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)

(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 #

State

 

 

 

 

(MM

DD YYYY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

Marital Status

Single

 

Married

 

Divorced

Widowed

 

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?

*YES

b. have you ever been convicted of any misdemeanor or felony offense in Texas, any other

 

state, or by the federal government?

*YES

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?

*YES

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?

*YES

NO

NO

NO

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?

YES

NO

11.

Are you now indebted to a special deputy receiver of the Texas Department of Insurance,

 

 

 

 

any insurance company, general agent or agent?

YES

NO

12.

Have you ever had an agency contract canceled for cause (e.g., misrepresentation,

 

 

 

 

misappropriation, etc.)?

YES

NO

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?

YES

NO

14.

Do you now have pending litigation against you alleging violation of the Texas Insurance Code

 

 

 

 

or the insurance laws of any other state?

YES

NO

15.

Have you ever held ownership interest in any insurance agency or company?

YES

NO

16.

Do you have any judgments against you held by any insurance company or insured which

 

 

 

 

are unpaid in whole or in part?

YES

NO

17.

Do you have any judgments against you which involved violation of the Texas Insurance Code

 

 

 

 

or the insurance laws of any other state?

YES

NO

18.

Do you have another business name or alias?

YES

NO

 

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?

YES

NO

If YES, indicate other name(s) here:

20. Do you currently hold an escrow officer license?

YES

NO

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:

I am a bona fide employee of the title agent/direct operation

I am an attorney

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.

PC132 Rev. 08/11

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?

YES

YES

NO

NO

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.

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

Sworn to and subscribed before me on ______________________________ to certify which witness my hand and seal of

office.

(Notary Seal)

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.

PC132 Rev. 08/11

Page 3 of 4

SECTION B -- TITLE AGENT IDENTIFICATION AND CERTIFICATION

Notice of Appointment of Escrow Officer by Title Insurance Agent/Direct Operation

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.

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

 

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

Sworn to and subscribed before me on ______________________________ to certify which witness my hand and seal of

office.

(Notary Seal)

Notary Sxeolfᄊv#Vljqdwxuh#

 

Regular Mailing Address

Overnight Mailing Address

 

Texas Department of Insurance

Texas Department of Insurance

 

Title Division, Mail Code 106-2T

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

PC132 Rev. 08/11

Page 4 of 4

Form Information

Fact Name Details
Governing Law The Texas PC132 form is governed by the Texas Title Insurance Act, specifically §2652.001.
Purpose This form is used to apply for a license to act as an escrow officer in Texas.
Application Fee A licensing fee of $35.00 must be submitted with the application.
Fingerprint Requirement Applicants must submit fingerprints and criminal history information as part of the application process.
Certification Statement Applicants must certify that they have answered all questions truthfully and understand the implications of their answers.
Contact Information For inquiries, contact the Texas Department of Insurance at 512-322-3482 or visit their website at www.tdi.texas.gov.

Detailed Guide for Filling Out Texas Pc132

Filling out the Texas PC132 form requires careful attention to detail. The information provided will be reviewed by the Texas Department of Insurance to determine eligibility for licensure. It is essential to ensure all sections are completed accurately and thoroughly to avoid delays in processing.

  1. Begin with Section A. Fill in your full name, ensuring no initials are used.
  2. Provide your residence address, including city, state, and zip code.
  3. Enter your phone number and email address. The email is required for notification purposes.
  4. Fill in your Social Security Number and confirm your Texas residency.
  5. Include your date of birth and driver's license number, along with the issuing state.
  6. Select your marital status from the provided options.
  7. Answer questions regarding any pending charges, past convictions, or professional license issues. Be thorough and provide detailed statements if necessary.
  8. List your employment history for the last five years, including employer names, addresses, and job titles.
  9. Provide three business or professional references, including their names, addresses, and phone numbers.
  10. Indicate whether you understand that you cannot act as an escrow officer until notified by the Texas Department of Insurance.
  11. Sign and date the certification section, acknowledging the truthfulness of the information provided.
  12. Complete Section B by having the sponsoring title agent or direct operation fill in their details and sign the form.
  13. Attach the required $35 licensing fee and any necessary bonds or endorsements.
  14. Submit the completed form to the Texas Department of Insurance at the provided mailing address.

Obtain Answers on Texas Pc132

  1. What is the Texas PC132 form?

    The Texas PC132 form is an application for a license to act as an escrow officer in the state of Texas. This form is required by the Texas Department of Insurance (TDI) for individuals seeking to perform escrow services within the title insurance industry.

  2. Who needs to complete the Texas PC132 form?

    Both the applicant and the sponsoring title agent or direct operation must complete sections of the Texas PC132 form. The applicant provides personal information, while the sponsoring entity certifies the applicant’s qualifications and good standing.

  3. What are the fees associated with the Texas PC132 form?

    A licensing fee of $35.00 must be submitted along with the completed form. This fee is necessary for the processing of the application.

  4. What documents must accompany the Texas PC132 form?

    The application must include:

    • The completed form itself.
    • A Texas escrow officer's schedule bond, if applicable.
    • Fingerprints and criminal history information, as outlined in the addendum.
  5. What information is required in Section A of the form?

    Section A requires the applicant to provide personal identification details, including:

    • Full name
    • Residence address
    • Phone number
    • Email address
    • Social Security number
    • Date of birth
    • Driver's license information
    • Marital status
  6. What criminal history information must be disclosed?

    Applicants must disclose any pending misdemeanor or felony charges, convictions, or any history of deferred adjudication or probation. This includes any judgments against the applicant related to insurance or securities laws.

  7. What happens if the application is incomplete?

    If the application is incomplete, processing will be suspended until all required details and documents are received. This includes any necessary explanations or supporting documentation regarding criminal history.

  8. Can an applicant act as an escrow officer before receiving a license?

    No, acting as an escrow officer before the license is issued is a violation of Texas law and may lead to disciplinary action, including fines and license denial or revocation.

  9. What is the importance of the sponsoring title agent's certification?

    The sponsoring title agent's certification is crucial as it confirms that the applicant has a good business reputation and meets the qualifications to serve as an escrow officer. This endorsement is necessary for the application to be considered.

  10. How can applicants check the status of their application?

    Applicants can contact the Texas Department of Insurance at the provided phone number or visit the TDI website for updates on their application status.

Common mistakes

Filling out the Texas PC132 form can be a daunting task, and many applicants make mistakes that can delay or even jeopardize their licensing process. One common error is failing to provide complete information. Each section of the form requires specific details, such as full names, addresses, and social security numbers. Omitting any required information can lead to unnecessary delays, as the Texas Department of Insurance may suspend processing until the missing details are submitted.

Another frequent mistake is inaccurately answering questions related to criminal history. The form asks about pending charges, convictions, and other legal issues. It is crucial to answer these questions truthfully and thoroughly. Misrepresenting or omitting past offenses, even if they seem minor, can result in severe consequences, including denial of the application or future disciplinary action.

Many applicants also overlook the importance of attaching necessary documents. The PC132 form specifies that certain documents, such as fingerprints and criminal history information, must accompany the application. Failing to include these documents can lead to a halt in processing. It's essential to double-check that all required attachments are present before submitting the form.

Another common oversight is not providing accurate contact information. The form requires an email address and phone number for notification purposes. If these details are incorrect or outdated, it can hinder communication with the Texas Department of Insurance. This may result in missing important updates or requests for additional information, further delaying the licensing process.

Lastly, many applicants neglect to review the entire application before submission. Taking the time to read through the completed form can help identify any mistakes or inconsistencies. A thorough review ensures that all questions have been answered accurately and that the application is complete. By avoiding these common pitfalls, applicants can enhance their chances of a smooth and successful licensing experience.

Documents used along the form

The Texas PC132 form is essential for individuals seeking to obtain an escrow officer license. However, it is often accompanied by several other documents that play a critical role in the licensing process. Each of these forms serves a specific purpose and is integral to ensuring compliance with Texas regulations regarding title insurance and escrow operations.

  • Notice of Appointment of Escrow Officer: This document is completed by the title insurance agent or direct operation. It formally appoints the applicant as an escrow officer and confirms that the agent has verified the applicant’s qualifications and good business reputation.
  • Escrow Officer Bond: This bond is a financial guarantee that the escrow officer will adhere to the laws and regulations governing their duties. It is often required to protect clients from potential misconduct or negligence by the escrow officer.
  • Criminal History Report: Applicants must provide a report detailing their criminal history, if any. This report helps the Texas Department of Insurance assess the applicant's suitability for licensure based on their past conduct.
  • Fingerprint Submission: Along with the application, applicants are required to submit fingerprints for a background check. This step is crucial in verifying the identity of the applicant and ensuring they do not have a disqualifying criminal record.
  • Application for Title Insurance Agent License (Form TDI-23): If the applicant is also seeking to become a licensed title insurance agent, this form must be submitted. It provides additional information about the applicant's qualifications and business practices.

Each of these documents is vital in the licensing process for escrow officers in Texas. Together, they ensure that applicants meet the necessary legal and ethical standards required to operate in this capacity. Proper completion and submission of these forms help facilitate a smoother licensing process and contribute to the integrity of the title insurance industry.

Similar forms

  • Texas PC-133 Form: Similar to the PC-132, this form is also used for licensing escrow officers in Texas. It requires personal information, employment history, and disclosures related to criminal history.
  • Texas PC-134 Form: This document is related to the appointment of a title insurance agent. Like the PC-132, it involves a certification process and includes details about the applicant's qualifications.
  • Texas PC-135 Form: This form is used for reporting changes in an escrow officer's status. It requires similar information about the officer's employment and licensing, ensuring compliance with state regulations.
  • Texas PC-136 Form: This document is utilized for notifying the Texas Department of Insurance about disciplinary actions against an escrow officer. It shares the requirement for detailed personal and professional history.
  • Texas PC-137 Form: Similar to the PC-132, this form is for applicants seeking a title insurance license. It includes sections on personal identification, criminal history, and employment verification.
  • Texas PC-138 Form: This form is used for the renewal of an escrow officer's license. It requires updated information about the officer's qualifications and any changes in their professional status.
  • Texas PC-139 Form: This document is for reporting any changes to the escrow officer's employer. It includes similar sections on personal and employment information as the PC-132.
  • Texas PC-140 Form: This form is related to the termination of an escrow officer's appointment. It requires information about the officer and the reasons for termination, aligning closely with the PC-132 in format and purpose.

Dos and Don'ts

When filling out the Texas PC132 form, it’s important to follow specific guidelines to ensure your application is processed smoothly. Here’s a list of things you should and shouldn’t do:

  • Do complete Section A fully, including your full name and contact information.
  • Do ensure that all signatures are included where required.
  • Do attach the necessary licensing fee of $35.00 with your application.
  • Do provide accurate and truthful responses to all questions, especially regarding your criminal history.
  • Don’t leave any required fields blank; missing information can delay processing.
  • Don’t submit the application without the required supporting documents, such as fingerprints if needed.
  • Don’t act as an escrow officer until you receive your license or notification of its issuance.
  • Don’t include false information or misrepresent facts, as this can lead to disciplinary action.

Misconceptions

Misconceptions about the Texas PC132 form can lead to confusion regarding the licensing process for escrow officers. Below is a list of eight common misconceptions along with explanations.

  • Misconception 1: The PC132 form is only for new applicants.
  • This form is used for both new applicants and those renewing their escrow officer licenses. It serves as a comprehensive application regardless of the applicant's prior status.

  • Misconception 2: Submitting the form guarantees a license.
  • Submitting the PC132 form does not guarantee that a license will be issued. The Texas Department of Insurance reviews each application and may require additional documentation or information.

  • Misconception 3: Only Texas residents can apply using this form.
  • While applicants must provide a Texas residence address, non-residents can still apply if they meet other qualifications and have a sponsoring title agent or direct operation in Texas.

  • Misconception 4: Fingerprints are optional for all applicants.
  • Fingerprint submission is a mandatory requirement for all applicants. This is part of the background check process to ensure compliance with state regulations.

  • Misconception 5: The $35 licensing fee is refundable.
  • The licensing fee is non-refundable, regardless of whether the application is approved or denied. Applicants should be prepared to pay this fee upon submission.

  • Misconception 6: Previous criminal offenses automatically disqualify an applicant.
  • While certain offenses may impact eligibility, each application is evaluated on a case-by-case basis. Disclosures regarding criminal history are required, but not all offenses lead to automatic disqualification.

  • Misconception 7: Applicants can start working immediately after submitting the form.
  • Applicants must wait until they receive official notification from the Texas Department of Insurance that their license has been issued before acting as an escrow officer.

  • Misconception 8: Letters of recommendation are not necessary.
  • While letters of recommendation can strengthen an application, they are not mandatory. However, providing them may help clarify an applicant's qualifications and character.

Key takeaways

  • Complete Sections A and B: The applicant and the sponsoring title agent or direct operation must fill out their respective sections accurately.
  • Submit a Licensing Fee: A fee of $35.00 is required for processing the application.
  • Attach Required Documents: Include the Texas escrow officer's schedule bond if necessary. If a bond is already on file, attach the relevant rider or endorsement.
  • Provide Fingerprints: Fingerprints and criminal history information must be submitted as part of the application process.
  • Be Honest About Criminal History: Disclose any pending charges or past convictions. This includes misdemeanors and felonies, regardless of the state or federal jurisdiction.
  • Understand Employment Status: Indicate your employment status accurately. If employed by a title agent or attorney, ensure that this is noted on the form.
  • Do Not Act as an Escrow Officer Prematurely: You must wait until the Texas Department of Insurance has issued your license before acting in this capacity.
  • Review Information Laws: You have the right to access and correct personal information collected by the Texas Department of Insurance.