Form T-64 - Texas Disclosure - Texas Department Of Insurance

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This form provides additional disclosures and
Texas Disclosure
acknowledgements required in Texas. It is used with the
federal Closing Disclosure form.
Form T-64
Closing Information
Transaction Information
Closing Disclosure
Property Address:
Issued Date:
Closing Date:
Borrower(s):
GF #:
Address(es):
Sales Price:
Seller(s):
Loan Amount:
Address(es):
Lender and Settlement Agent
Lender:
Settlement Agent:
Address:
Address:
Title Insurance Premiums
If you are buying both an owner’s policy and a loan policy, the title insurance premiums on this form might be
different than the premiums on the Closing Disclosure. The owner’s policy premium listed on the Closing
Disclosure will probably be lower than on this form, and the loan policy premium will probably be higher. If you
add the two policies’ premiums on the Closing Disclosure together, however, the total should be the same as the
total of the two premiums on this form.
The premiums are different on the two forms because the Closing Disclosure is governed by federal law, while this
form is governed by Texas law. The owner’s policy and loan policy premiums are set by the Texas commissioner of
insurance. When you buy both an owner’s policy and a loan policy in the same transaction, you are charged the full
premium for the owner’s policy but receive a discount on the loan policy premium. Federal and Texas law differ on
where the discount is shown. Texas law requires the discount to be reflected in the loan policy premium, while
federal law requires the discount to be reflected in the owner’s policy premium.
Owner’s Policy Premium
Title Agent:
$
Loan Policy Premium
$
Underwriter:
Endorsements
$
$
Other
$
TOTAL
Of this total amount: $_________ (or ____%) will be paid to the Underwriter; the Title Agent will retain
$_________ (or ____%); and the remainder of the premium will be paid to other parties as follows:
Amount ($ or %)
To Whom
For Services
Fees Paid to Settlement Agent
Fees Paid to Settlement Agent on the Closing Disclosure include:
GF #
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