Page 201 - ALTA Endorsements Guide

ALTA ENDORSEMENT RETURN TO TABLE OF CONTENTS

Endorsement 33-06
Disbursement
Adopted 02-03-11

ENDORSEMENT
Attached to Policy No. __________
Issued by
OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY

SAMPLE
1. The Date of Coverage is amended to _______________________.
a. The current disbursement is: $ ________________________ ]
b. The aggregate amount, including the current disbursement, recognized by the Company as disbursed by the Insured is:
$______________________]

2. Schedule A is amended as follows:

3. Schedule B is amended as follows:
[Part I]
[Part II]

This endorsement is issued as part of the policy. Except as it expressly states, it does not (i) modify any of the terms and provisions of the policy, (ii) modify
any prior endorsements, (iii) extend the Date of Policy, or (iv) increase the Amount of Insurance. To the extent a provision of the policy or a previous
endorsement is inconsistent with an express provision of this endorsement, this endorsement controls. Otherwise, this endorsement is subject to all of
the terms and provisions of the policy and of any prior endorsements.

[Witness clause optional]

OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY

By: ______________________________
[Authorized Signatory]

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