KY ALTA Owner's Policy Schedule A 1

Order No.: Policy No.:

SCHEDULE A

Premium:County:

Tax:

Date of Policy: at _:__ _.m.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 land referred to in this policy is situated in the County of _______________, Kentucky, and is described as follows:

TAX DATA:DistrictBlockLot

Sublot

ASSESSMENT

STEWART TITLE GUARANTY COMPANY

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