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Get Policy Guaranty Fee Remittance From T G1

POLICY GUARANTY FEE REMITTANCE FORM T-G1 By Name of Reporting Entity Phone Number Address Fax Number City State and Zip e-mail address TDI Agency/Direct Operation Company ID Number Agent ID REQUIRED Check here if any of the information above has changed since your last report. Notary Public in and for the State of Texas Printed Name of Notary REMIT CHECK MADE PAYABLE TO Texas Title Insurance Guaranty Association P. O. Box 2212 Austin TX 78768-221.

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