TX STG Request for Approval to Issue Policy
(Must be used if Amount of Insurance exceeds authority limits)
REQUEST FOR APPROVAL TO ISSUE POLICY
To: Stewart Title Guaranty Company Date:
From: ______________________________________________________________ [Name of Sender]
__________________________________________________ [Company/Office, City, and State]
Telephone: ______________; Fax: ______________; Email: ____________________________
Re: Title/File/Order No. ____________________________
_____________________________________________________ [Property Address/Reference]
1. Title was examined from ______________ to _______________
2. Starter, if any. Please specify: (a) prior Company: ____________________; (b) prior Effective Date: ________________; (c) ______ Owner's Policy or ______ Loan Policy (check one). [*] Please attach a copy. [Must comply with Bulletin TX000065]
3. List the Policy Form(s), Type, Insured and Stewart’s Policy amount. If Policy Form not indentified, the form will be the 2006 ALTA Policy. Attach a copy of Commitments.
Policy Form (e.g. 2006 ALTA) |
Type |
Proposed Insured |
Amount |
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$ |
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$ |
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$ |
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$ |
4. Description of Property (e.g., undeveloped, apartments, offices, etc.):
5. Describe transaction and purpose of financing (Briefly, but in detail):
6. Describe any conflict or interest or potential conflict of interest. If none, write the word "None": _________________________________________________________________________________________
7. |
Owner's Policy Endorsements: * |
8. |
Loan Policy Endorsements: * |
|
(Check box and circle endorsement number) |
|
(Check box and circle endorsement number) |
N/A |
ALTA 3 or 3.1 Zoning |
N/A |
ALTA 3 or 3.1 Zoning |
|
ALTA 4 Condominium TX T-28 |
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ALTA 4 Condominium TX T-28 |
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ALTA 5, 5.1 Planned Unit Development TX T-17 |
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ALTA 5, 5.1 Planned Unit Development TX T-17 |
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ALTA 6 Variable Rate Mortgage TX T-33 or 6.2 Variable Rate Mortgage-Negative Amortization TX T-33.1 |
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ALTA 7 Manufactured Housing Unit TX T-31; T-31.1 ALTA 7.2 Manufactured Housing Unit-Conversion TX N/A |
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ALTA 7 Manufactured Housing Unit TX T-31; T-31.1 ALTA 7.1 Manufactured Housing Unit-Conversion TX N/A |
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ALTA 8.1 TX N/A, Environmental Protection Lien (Residential) TX T-36 |
N/A | ALTA 8.2 Commercial Environmental Lien | N/A | ALTA 8.2 Commercial Environmental Lien |
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ALTA 9.1 TX T-19.1 NON RESIDENTIAL ONLY, 9.2, 9.4, or 9.5 REM TX N/A |
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ALTA 9 TX T-19 or 9.3 REM TX N/A |
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ALTA 12 Tie-in TX T-16 |
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ALTA 13 Lease TX T-5 |
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ALTA 13.1 Lease TX T-4 |
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ALTA 14, 14.1 or 14.2 Future Advance TX USE T-3 |
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ALTA 15, 15.1, or 15.2 Nonimputation TX T-24 |
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ALTA 16 Mezzanine Financing TX T-24.1 |
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ALTA 17 or 17.1 Access TX T-23 |
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ALTA 17 or 17.1 Access TX T-23 |
N/A |
17.2 Utility Access |
N/A |
17.2 Utility Access |
N/A |
ALTA 18 or 18.1 Tax Parcel |
N/A |
ALTA 18 or 18.1 Tax Parcel |
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ALTA 19 or 19.1 Contiguity TX T-25 |
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ALTA 19 or 19.1 Contiguity TX T-25 |
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|
N/A |
ALTA 20 First Loss |
N/A |
ALTA 22 and 22.1 Location |
N/A |
ALTA 22 and 22.1 Location |
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ALTA 23 Co-Insurance - Single Policy TX T-48 |
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ALTA 23 Co-Insurance - Single Policy TX T-48 |
|
|
N/A |
ALTA 24 Doing Business |
N/A |
ALTA 25 Same as Survey or 25.1 Same as Portion of Survey |
N/A |
ALTA 25 Same as Survey or 25.1 Same as Portion of Survey |
N/A |
ALTA 26 Subdivision |
N/A |
ALTA 26 Subdivision |
|
|
N/A |
ALTA 27 Usury |
N/A |
ALTA 28 Easement-Damaged or Enforced Removal |
N/A |
ALTA 28 Easement-Damaged or Enforced Removal |
|
|
N/A |
ALTA 29 or 29.1 Interest Rate Swap |
|
|
N/A |
ALTA 30 Shared Appreciation Mortgage |
Assignment of Rents and Leases TX T-27 | |||
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Other:
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Other: |
* May be modified to refer to other endorsements available in applicable states.
9. Does this file involve the following? (If applicable, write YES; if no, write NO):
_____ A construction loan?
_____ Broken-priority (e.g., early start) or no-priority? If so, please describe underwriting: _________________________________.
_____ Recent construction performed or completed within the lien period? If so, please describe underwriting: _________________________________________________________.
_____ Request for Mechanic's Lien Coverage?
_____ Access based solely upon an easement (i.e., is there no direct access to a dedicated public street)? If so, was title to the access easement examined? _________
_____ Lien priority based upon subordination of a lien or mortgage
_____ Tidelands, filled land, submerged land, navigable waters or riparian issues
_____ Insuring title to railroad property
_____ Title based upon judicial proceedings (e.g., tax foreclosure, condemnation, bankruptcy)
_____ Title based upon foreclosure or deed in lieu of foreclosure
_____ Easement independent of real property (i.e., an easement in gross)
_____ Insured option
_____ Native American (Indian) lands
_____ Water rights
_____ Sheriff’s Sale in last 10 years (other than mortgage foreclosure)
_____ Other extra hazardous risks, such as those shown in VU Underwriting Manual Section 5.36
If yes to any of the above, please describe in the next section or by supplement.
10. Other unusual risks, issues and/or affirmative coverages, if any: ____________________________________________________________________________________
____________________________________________________________________________________
11. If this transaction involves co-insurance, list the co-insurers and their liability amounts/percentages: ___________________________________________________________________________________
____________________________________________________________________________________
12. This policy will be issued by (must be completed):
______(a) an issuing agent authorized in the state, in compliance with state law; or
______(b) direct issue/home office, in compliance with state law.
______(c) attach completed T-00 signed by Entity Requesting Payment and the Agency Issuing the Policy/Paying for the Work
13. From our examination of the Title and the foregoing, we are of the opinion that the requested Policy complies with Company Guidelines, including, but not limited to, those on Virtual Underwriter, and can be safely issued.
The requested coverages and endorsements are allowed to be issued in the state, and the rates to be charged will comply with state requirements.
Signature: __________________________________________ (Title Examiner/Chief Title Officer/Closer)
Printed Name: ______________________________ Title: _________________________________
IF THERE ARE ADDITIONAL MATERIAL FACTS OR SUBSTANTIVE CHANGES OF CIRCUMSTANCES OR IF ADDITIONAL COVERAGES ARE REQUESTED, YOU MUST OBTAIN WRITTEN APPROVAL. A COPY OF THE COMMITMENT OR TITLE REPORT MUST BE ATTACHED.
This approval is NOT an approval for Reinsurance. If the Policy amount is $100,000,000.00 or larger contact our Reinsurance Department even if Reinsurance is not required, so that the transaction may be properly reported to management.
This approval form must be signed by your State, District or Division Counsel, or other Underwriter before forwarding to a Senior Underwriter.
APPROVAL Re: Title/File/Order No. ____________________________
Based upon the information above given, approval is hereby granted to issue the Policy as requested, subject to the following: ________________________________________________________________
__________________________________ Local/Regional/Assoc. Senior Underwriter |
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________________________ Senior Underwriter |
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__________________________________ Senior Underwriter |
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_________________________ Senior Underwriter |
Revised 7/6/11
No guidelines are available for this form at this time.