KY ALTA Loan Policy Schedule A 1

SCHEDULE A

County:

Premium:

Tax:

Date of Policy:at __:____ __.M.

Amount of Insurance: $

1.Name of Insured:

, its successors and assigns, as their interests may appear

2.The estate or interest in the land described herein and which is covered by this policy is fee simple, and is at Date of Policy vested in:

3.The Mortgage, herein referred to as the insured mortgage, and the assignments thereof, if any, are described as follows:

4.The land referred to in this policy is situated in ______________ County, Kentucky and is described as follows:

TAX DATA:DistrictBlockLot

Sublot

ASSESSMENT:

STEWART TITLE GUARANTY COMPANY