Attached to Policy No. __________
STEWART TITLE GUARANTY COMPANY
1. The Date of Coverage is amended to _______________________.
[a. The current disbursement is: $ ________________________ ]
[b. The aggregate amount, including the current disbursement, recognized by the Company as disbursed by the Insured is: $______________________]
2. Schedule A is amended as follows:
3. Schedule B is amended as follows:
[Witness clause optional]
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For issuing guidelines on this form, see Guidelines.