KS ALTA Loan Policy Schedule A 1

SCHEDULE A

Order Number:Policy Number: M--

Date of Policy:Amount of Insurance: $

Time of Policy:or the date ofAmount of Premium:

recording of the

insured deed/mortgage,

whichever is later.

1. Name of Insured:

2. The estate or interest in the land which is encumbered by the insured mortgage 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:

STEWART TITLE GUARANTY COMPANY


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