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TS-2 www.hctx.net rev 8/18 v.6
Acknowledgement of Receipt of Forms TS-5 and TS-5A and
Copy of Texas Transportation Code 520.051 and Texas Administrative Code 95.1
Please complete this printable form online or write legibly in blue or black ink ONLY, within the lines
provided. This form will NOT be accepted and will be returned if it is illegible, altered or incomplete.
I, ____________________________________, hereby acknowledge that I have received a copy of forms
TS-5 (Harris County Title Service Transaction Form) and TS-5A (Harris County Title Service Records).
I hereby acknowledge that I have also received a copy of the Texas Transportation Code 520.051 and Texas
Administrative Code 95.1.
I understand it is my responsibility to maintain a copy of this information at my disposal at all times and
understand that it directly affects the conduct of business regarding Motor Vehicle Title Service transactions
in the Harris County Tax Office.
It is my responsibility to comply with these two forms pursuant to Sec. 520.057, Texas Transportation Code
and to read and comply with Texas Transportation Code 520.051 and Texas Administrative Code 95.1.
Received by: ______________________________________________________
(Signature)
Printed Name: _____________________________________________________
Date: _____________________
Title Service Name: _________________________________________________
Title Service Phone: _____________________
Check box if you are: Title Service Owner or Runner
Witness: _________________________________________________________
(Signature)
Printed Name: _____________________________________________________
Date: _____________________
