|Order Number:||Policy Number: O--|
Date of Policy: Amount of Insurance: $
Time of Policy: or the date ofAmount of Premium:
recording of the
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
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