KS ALTA Owner's Policy Schedule A 1

SCHEDULE A

Order Number: Policy Number: O--

Date of Policy: Amount of Insurance: $

Time of Policy: or the date of Amount of Premium:

recording of the

insured deed/mortgage,

whichever is later.

1. Name of Insured:

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


STEWART TITLE GUARANTY COMPANY


No guidelines are available for this form at this time.

No guidelines are available for this form at this time.