OR ALTA Leasehold Loan Policy Schedule A 1

SCHEDULE A

Order No.: _______________ Policy No.: ________________

Date of Policy: ________________ Loan No.: _________________

Amount of Insurance: $ ___________________

1.Name of Insured: ________________________________

2.The estate or interest in the land which is covered by this policy is the leasehold estate, as leasehold estate is defined in section 1(h) of the Conditions and Stipulations of this policy, created by the instrument herein referred to as the Lease which is identified as follows:

__________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________

3.The leasehold term insured is:

_______________________________________________________________ _______________________________________________________________ _______________________________________________________________

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

_________________________________________________________________ _________________________________________________________________ _________________________________________________________________

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

__________________________________________________________ __________________________________________________________ __________________________________________________________

No guidelines are available for this form at this time.