T-56 TX Owner Policy Rejection Form

Date: __________________


Pursuant to requirement of Article 9.55, Insurance Code, as amended, the undersigned hereby acknowledges that a Mortgagee Policy to be issued in file No. _______________ in consideration of $_______________ premium is to be issued to the lender and that such policy does not afford title insurance coverage to the undersigned in the event of a defect in the title to the real estate which is being acquired. An owner policy in the amount of $_________________ shall be issued for an additional premium cost of $_________________ unless rejected hereby.

The undersigned hereby reject the issuance of said Owner Policy.





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