T-56 TX Owner Policy Rejection Form

Date: __________________

OWNER POLICY REJECTION FORM

Pursuant to requirement of §2704.051 and §2704.052, Insurance Code, and Procedural Rule P-65, the undersigned hereby acknowledge that a Loan Policy is to be issued in File No. _______________ in consideration of $______________ premium 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’s Policy in the amount of $___________________ shall be issued for an additional premium of $___________________ unless rejected hereby.

The undersigned hereby reject the issuance of said Owner’s Policy

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[ACKNOWLEDGMENT]