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The Texas PC132 form is a crucial document used for the application process of becoming a licensed escrow officer within the state. This form is divided into various sections that collect personal and professional information from the applicant, including full legal name, residency details, contact information, and employment history. Applicants must disclose any criminal history, pending charges, or previous license issues that could affect their eligibility. A licensing fee is required along with a bond if applicable, ensuring that the applicant meets the necessary legal and financial responsibilities associated with the role. Each section is designed to verify the applicant’s qualifications and integrity, which are paramount in the field of title insurance and escrow services. Additionally, sponsoring title agents must complete specific sections to confirm their support for the applicant's licensure. Importantly, the form emphasizes compliance with state regulations, advising that acting as an escrow officer without an issued license could result in disciplinary actions.

Texas Pc132 Example

 

 

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

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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)

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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 AgencyCounsel@tdi.state.texas.us 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 Characteristics

Fact Name Details
Governing Law The Texas Pc132 form is governed by the Texas Title Insurance Act.
Usage This form is used for applicants seeking a license to act as an escrow officer in Texas.
Processing Fee A licensing fee of $35.00 must be submitted along with the form.
Criminal History Applicants are required to provide fingerprints and disclose any criminal history as per the form instructions.
Title Agent Requirement The form requires the sponsoring title agent or direct operation to complete a section to validate the application.
False Information Penalty Providing false information on the application can lead to disciplinary actions including fines or license denial.

Guidelines on Utilizing Texas Pc132

Completing the Texas Pc132 form is a critical step in the application process for becoming an escrow officer. Careful attention to detail is necessary. Before starting, ensure you have all the required documents and information on hand.

  1. Enter your full name in Section A (Last, First, Middle). No initials are allowed.
  2. Provide your residential address, including city, state, and ZIP code.
  3. Include a phone number and a valid email address, which is required for notifications.
  4. Fill in your Social Security number. This is mandatory as per the Texas Family Code.
  5. Indicate whether you are a Texas resident and provide your date of birth.
  6. Provide your driver's license number and the state where it was issued.
  7. Specify your marital status.
  8. Answer the questions regarding any pending charges or criminal history. Provide details on a separate sheet if necessary.
  9. If applicable, list your employment history for the last five years.
  10. List three business or professional references, including their address and contact information.
  11. Declare your employment status regarding the title agent or direct operation in Section A.
  12. Attach any required fingerprints and criminal history information.
  13. Have Section B completed by your sponsoring title agent/direct operation.
  14. Submit the $35 licensing fee along with your completed application.
  15. Attach any required Texas escrow officer's schedule bond, if needed.
  16. Sign the application under the certification section to confirm all provided information is true and correct.

After submitting the form, monitor for communications from the Texas Department of Insurance regarding your application status. Ensure any additional requests for information are addressed promptly to avoid delays in the licensing process.

What You Should Know About This Form

What is the Texas PC132 Form?

The Texas PC132 form is an application used for obtaining a license to act as an escrow officer in the state of Texas. It is processed by the Texas Department of Insurance (TDI) and consists of several sections that applicants must complete, including providing personal identification, employment history, and background information.

Who needs to fill out the PC132 Form?

Individuals seeking to become licensed escrow officers in Texas must complete the PC132 form. This includes both attorneys and employees of licensed title insurance agents or direct operations. Anyone wishing to act as an escrow officer must submit this application to TDI.

What information is required on the form?

The form requires detailed personal information, including your full name, residency address, Social Security number, and contact information. Applicants must also disclose their employment history over the past five years, any previous criminal charges or convictions, and any other pertinent personal data related to previous licenses.

What is the fee for submitting the PC132 Form?

A licensing fee of $35.00 must accompany the PC132 form when it is submitted. This fee supports the processing of the application and the issuance of the license, should it be approved.

Do I need a bond to apply for this license?

Yes, if required, you must attach a Texas escrow officer's schedule bond to the application. If this bond has already been filed with TDI, you'll need to submit an endorsement or rider instead.

What happens if I act as an escrow officer before obtaining a license?

Acting as an escrow officer before your license is issued can lead to serious consequences. This is considered a violation of Texas law and can result in disciplinary action, including fines or the denial or revocation of your license application.

How long will it take to process my application?

The time for processing the application can vary based on several factors, including the completeness of your submission and whether any additional documentation is required. Applicants should ensure they provide all necessary information to avoid delays in processing.

Can prior criminal convictions affect my application?

Yes, any prior criminal convictions can impact your ability to obtain a license. You must disclose any misdemeanors or felonies, and providing certified copies of relevant documents is essential. TDI will review this information during the application process. Providing credible references may also help your case.

How can I check the status of my application?

To check the status of your application, contact the Texas Department of Insurance. They can provide information about where your application stands in the review process. It's a good idea to keep records of your submission and any communication with TDI.

Common mistakes

Completing the Texas PC132 form can present challenges, and individuals often make mistakes that can delay processing. One common error is failing to provide complete names in Section A. Applicants must write their names in full, without the use of initials. Omitting a middle name can lead to misidentification.

Another mistake is neglecting to include a valid phone number or email address. Section A requires this information for notification purposes. Without it, applicants may miss important communications from the Texas Department of Insurance (TDI).

Social Security numbers must also be entered correctly. A frequent oversight occurs when applicants either provide inaccurate digits or omit this critical information altogether. The Texas Family Code requires disclosing the Social Security number, and any discrepancies can cause delays.

Avoiding confusion around marital status is essential. Selecting the wrong status can lead to questions during the application review. Ensure that the selection made accurately reflects the applicant's current situation.

The documentation related to criminal history often causes complications. Certified copies of indictments, convictions, or any related documents must be submitted. If these documents are missing or incomplete, TDI will suspend processing until the necessary information is provided.

Another frequent mistake involves the employment history section. Applicants should include all relevant employment for the last five years. Omitting a job or providing incomplete details can lead to further inquiries and delays.

Signing in the wrong area or failing to include a notary’s signature is a common issue. All necessary signatures must be affixed in the designated areas for the application to be considered valid.

Answering questions inaccurately or failing to answer them can also result in complications. Applicants must answer every relevant question truthfully. Inaccurate information is subject to serious consequences, including fines or denial of the application.

Finally, some applicants forget to include the required $35.00 licensing fee. This fee must accompany the application; failing to submit it can delay the processing and issuance of the license.

Documents used along the form

The Texas PC132 form is an essential document for those seeking to become licensed escrow officers in Texas. However, this form is often accompanied by other important documents throughout the application process. Each of these documents serves a specific purpose and plays a critical role in ensuring compliance with licensing requirements. Below is a list of documents commonly used alongside the Texas PC132 form.

  • Texas Title Insurance Act Compliance Form - This document outlines the requirements and standards under the Title Insurance Act that the applicant must comply with, ensuring they meet the necessary legal qualifications for licensure.
  • Notice of Appointment of Escrow Officer - This notice is provided by the title insurance agent or direct operation, confirming the appointment of a licensed escrow officer, which is necessary for the applicant's role.
  • Background Check Authorization - This form gives permission for the Texas Department of Insurance to conduct a background check on the applicant, vital for assessing their eligibility for licensure.
  • Fingerprint Submission Form - Applicants must submit their fingerprints as part of the background check process. This document provides the instructions and necessary details regarding fingerprinting services.
  • Escrow Officer Bond - Some applicants may be required to attach a bond proving financial responsibility and protecting clients against potential fraud or misappropriation of funds.
  • Statement of Experience - This document outlines the applicant's experience in the title insurance industry and their qualifications, providing evidence that they have the necessary background to perform the duties of an escrow officer.
  • Notary Acknowledgment Form - A notary acknowledgment is often required to verify that the applicant has signed the application truthfully and under oath, thereby enhancing the form's legal legitimacy.

Understanding these accompanying documents and their functions can streamline the application process for prospective escrow officers. Each document not only ensures regulatory compliance but also protects the interests of all parties involved in the title insurance and escrow transaction process in Texas.

Similar forms

The Texas PC132 form is a key document used in the title insurance and escrow industry. It has similarities with several other documents, which also serve to inform and facilitate the licensing process for professionals in this sector. Here’s how the PC132 form compares to five similar documents:

  • Application for Title Insurance License: Like the PC132 form, this application requires detailed personal and professional information from the applicant and verifies their qualifications to operate in the title insurance industry.
  • Escrow Officer License Application: This document, similar to the PC132 form, requires disclosure of personal history, including any criminal background, and includes a certification section that must be signed by a notary public.
  • Criminal History Background Check Authorization: The PC132 form necessitates a submission of fingerprints, resembling this authorization document that allows a governmental body to access an applicant’s criminal history for screening purposes.
  • Notice of Appointment of Escrow Officer: Both the PC132 form and this notice provide formal acknowledgment of an escrow officer's appointment. They confirm the officer's qualifications and the agent's responsibility in the hiring process.
  • Affidavit of Identity: The PC132 form often requires an affidavit that certifies the identity of the applicant, mirroring this document that serves to establish and confirm the identity of an individual in a legal context.

Dos and Don'ts

When completing the Texas Pc132 form, consider the following guidelines:

  • Clearly write your full name, without using initials.
  • Ensure all required fields, such as social security number and email address, are accurately filled in.
  • Attach any necessary supporting documents, such as fingerprints or certified copies of legal documents.
  • Review your application thoroughly for accuracy before submission.

Avoid these common mistakes:

  • Do not use shorthand or abbreviations in your answers.
  • Avoid leaving any required fields blank; each question must be addressed.
  • Do not submit incomplete documents; ensure all necessary information is included.
  • Refrain from acting as an escrow officer until you receive official notification of your license issuance.

Misconceptions

  • It is only for experienced escrow officers. Some believe that the Texas PC132 form is exclusive to seasoned professionals. In reality, it is designed for all individuals looking to obtain an escrow officer license, regardless of their prior experience.
  • Submitting the form guarantees a license. Many assume that completing and submitting the form automatically results in receiving an escrow officer license. However, it undergoes a review process, which can include background checks and other evaluations before approval.
  • All questions must be answered truthfully. Some might think this is mere advice, but honesty is a legal requirement. Providing false information is subject to disciplinary action, and it can result in the denial or revocation of the license.
  • Proof of employment is not needed. A common misconception is that applicants do not need to provide employment details. However, section B requires recent employment history, and failure to disclose this could delay processing.
  • Fingerprinting is optional. Some individuals believe that fingerprinting and criminal history checks are optional parts of the application process. In fact, these elements are mandatory to ensure applicant integrity and trustworthiness.
  • You can act as an escrow officer once you submit the form. There is a belief among some that submitting the form allows them to begin acting as escrow officers immediately. This is incorrect; applicants must wait until their license is issued by the Texas Department of Insurance.

Key takeaways

The Texas PC132 form is essential for individuals seeking to become licensed escrow officers in Texas. Understanding the form's requirements and implications is crucial for successful completion.

  • The form requires accurate identification details. The applicant must provide their full name, residence address, and contact information.
  • A licensing fee of $35.00 must accompany the submission. This fee is mandatory and should be prepared upon application.
  • Applicants must ensure that fingerprints and criminal history information are included as outlined in the instructions.
  • Section A of the form must be filled out by the applicant, while Section B is reserved for the sponsoring title agent or direct operation.
  • Disclosure of Social Security Numbers is mandated by state law. Failing to provide this information can result in delays.
  • The applicant needs to disclose any pending charges or past convictions. This includes being honest about adjudications deferred or periods of probation.
  • Employment history over the last five years must be documented, including details about former employers and positions held.
  • Professional references are required, and applicants need to provide the names, addresses, and contact details of three references.
  • It is crucial to understand that acting as an escrow officer before receiving a license is a violation of state law. Compliance is non-negotiable.
  • Once the form is submitted, application processing cannot begin until all required information and documentation are present.

In conclusion, accuracy and thoroughness when completing the Texas PC132 form contribute to a smoother licensing process. Applicants should familiarize themselves with each requirement and adhere strictly to the instructions provided.