BZ Belize Loan Policy Schedule A 1

SCHEDULE A

Order Number:
Policy No.:
Date of Policy:
Amount of Insurance: $

1. Name of Insured:


2. The estate or interest in the land which is covered by this policy is:




3. Title to the estate or interest in the land is vested in:




4. The insured mortgage and assignments thereof, if any, are described as follows:







5. The land referred to in this policy is described as follows:






No guidelines are available for this form at this time.