OTIRO Endorsement No. 233-06 (Disbursement Endorsement) (02-03-11)

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  • Oregon
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OTIRO Endorsement No. 233-06 (Disbursement Endorsement) (02-03-11)

Form Document
05/28/2020
V 4

ENDORSEMENT

ATTACHED TO POLICY NO. [FILL IN]

ISSUED BY

STEWART TITLE GUARANTY COMPANY

[Date           : [FILL IN] ]

[Premium    : [FILL IN] ]

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:

[FILL IN]

3.   Schedule B is amended as follows:

      [Part I] [FILL IN]

      [Part II] [FILL IN]

[Witness clause optional]

[STEWART TITLE GUARANTY COMPANY]

[By: ________________________________]

            [Authorized Signatory]

For issuing guidelines on this form, see Guidelines.