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                                                                                                  Owner’s Policy of Title insurance
                                                                                                      [2021  v. 01.00  (07-01-2021)]

        [Transaction Identification Data, for which the Company assumes no liability as set forth in Condition 9.d.:
        Issuing Agent:
        Issuing Office:
                SAMPLE
        Issuing Office’s ALTA® Registry ID:
        Issuing Office File Number:
        Property Address:]


                                                          SCHEDULE A

        Name and Address of Title Insurance Company:
        Policy Number:
        Amount of Insurance: $       [Premium: $           ]
        Date of Policy:              [at           a.m./p.m.]

        1.    The Insured is:

        2.    The estate or interest in the Land insured by this policy is:

        3.    The Title is vested in:

        4.    The Land is described as follows:

        [5.   This policy incorporates by reference the endorsements designated below,  adopted by the  [American  Land Title Association]
              [________________] as of the Date of Policy:]








































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