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ADDENDUM                                                                  RETURN TO TABLE OF CONTENTS






        Commitment for Title insurance
        [2021 v. 01.00 (07-01-2021)]

        [Transaction Identification Data, for which the Company assumes no liability as set forth in Commitment Condition 5.e.:
        Issuing Agent:
        Issuing Office:
        Issuing Office’s ALTA® Registry ID:
        Loan ID Number:
        Commitment Number:
        Issuing Office File Number:
                SAMPLE
        Property Address:]
        [Revision Number:]



                                                          SCHEDULE A

        1.    Commitment Date:

        2.    Policy to be issued:
              a.   [2021 ALTA® Owner’s Policy][2021 ALTA® Loan Policy][_____ ALTA® __________ Policy]
                   Proposed Insured: ________________
                   Proposed Amount of Insurance: $________________
                   The estate or interest to be insured: ________________
              [b.   [2021 ALTA® Owner’s Policy][2021 ALTA® Loan Policy][_____ ALTA® __________ Policy]
                   Proposed Insured: ________________
                   Proposed Amount of Insurance: $_________________
                   The estate or interest to be insured: ________________]
              [c.   [2021 ALTA® Owner’s Policy][2021 ALTA® Loan Policy][_____ ALTA® __________ Policy]
                   Proposed Insured: ________________
                   Proposed Amount of Insurance: $________________
                   The estate or interest to be insured: ________________]

        3.    The estate or interest in the Land at the Commitment Date is: (Identify each estate or interest covered, i.e., fee, leasehold, etc.)

        4.    The Title is, at the Commitment Date, vested in[:] (Identify vesting for each estate or interest identified in Item 3 above)[ and, as disclosed in the Public
              Records, has been since (Date)]

        5.    The Land is described as follows:



        OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY


        By: ______________________________
        [Authorized Signatory]
















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