Form FINT01 "Escrow Officer Name or Address Change Request Form" - Texas

What Is Form FINT01?

This is a legal form that was released by the Texas Department of Insurance - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the Texas Department of Insurance;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form FINT01 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance.

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Download Form FINT01 "Escrow Officer Name or Address Change Request Form" - Texas

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FINT01 | 0319
Escrow officer name or address change request form
You must fill out and send us this document within 30 days of a change to your name or address
becomes official.
TDI license number: _________________________________________________________________________________
Name as listed on your license:
________________________________________________________________________________________________________
First name
Middle name
Last name
Suffix
Fill out this section if you changed your name:
New legal name:
________________________________________________________________________________________________________
First name
Middle name
Last name
Suffix
�� Attach a copy of an official document showing that your name changed. For example, send a
copy of a marriage certificate or divorce decree.
Fill out all parts of this section if your address changed:
Phone numbers:
Personal (______)__________________________________ Business (______)___________________________________
Email addresses:
Personal__________________________________________ Business____________________________________________
Home address:
Street address _____________________________________________________________________________________
City ____________________________________________________ State ________________ ZIP _______________
Is your mailing address the same as your home address (primary residence)?  Yes
 No
If no, what is your mailing address?
Mailing address ___________________________________________________________________________________
City ____________________________________________________ State ________________ ZIP _______________
Texas Department of Insurance
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FINT01 | 0319
Escrow officer name or address change request form
You must fill out and send us this document within 30 days of a change to your name or address
becomes official.
TDI license number: _________________________________________________________________________________
Name as listed on your license:
________________________________________________________________________________________________________
First name
Middle name
Last name
Suffix
Fill out this section if you changed your name:
New legal name:
________________________________________________________________________________________________________
First name
Middle name
Last name
Suffix
�� Attach a copy of an official document showing that your name changed. For example, send a
copy of a marriage certificate or divorce decree.
Fill out all parts of this section if your address changed:
Phone numbers:
Personal (______)__________________________________ Business (______)___________________________________
Email addresses:
Personal__________________________________________ Business____________________________________________
Home address:
Street address _____________________________________________________________________________________
City ____________________________________________________ State ________________ ZIP _______________
Is your mailing address the same as your home address (primary residence)?  Yes
 No
If no, what is your mailing address?
Mailing address ___________________________________________________________________________________
City ____________________________________________________ State ________________ ZIP _______________
Texas Department of Insurance
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FINT01 | 0319
Sign here:
The answers I gave on this form are true and correct:
________________________________________________________________________________________________________
Escrow officer’s signature
Date
Return this form and any attachments one of these ways:
Mail:
Overnight mail or in person:
Texas Department of Insurance
Texas Department of Insurance
Title Licensing (Mail code 107-TL)
Title Licensing (Mail code 107-TL)
PO Box 149104
333 Guadalupe
Austin, Texas 78714-9104
Austin, Texas 78701
Email:
TDI-TitleLicensing@tdi.texas.gov
Contact us if you have questions:
You can: (1) use our online question form at www.tdi.texas.gov/agent/question.html,
(2) email TDI-TitleLicensing@tdi.texas.gov, or (3) call 512-676-6475.
Know your rights:
You have the right to see and get facts we have about you: If you want to get information we
have about you, you must ask us in writing. You might need to pay to get a copy of this
information. You can send your letter or email one of these ways:
Email:
OpenRecords@tdi.texas.gov
Mail: Texas Department of Insurance
Fax: 512-490-1021
Public Information Coordinator
In person: 333 Guadalupe, Austin, Texas 78701
PO Box 149104 (Mail code 110-1C)
Austin, Texas 78714-9104
You have the right to ask that we fix information we have about you that is wrong: If you
want to ask that we fix information we have about you that is wrong, you must ask us in writing.
The letter or email must have: (1) your name and mailing address, (2) your phone number,
(3) details about what needs to be fixed, and (4) the reason or proof showing why the information
is wrong. You can send your letter or email one of these ways:
Email:
RecordCorrections@tdi.texas.gov]
Mail: Texas Department of Insurance
Fax: 512-490-1025
Record Correction Request
In person: 333 Guadalupe, Austin, Texas 78701
PO Box 149104 (Mail code 113-1C)
Austin, Texas 78714-9104
Texas Department of Insurance
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