Example TX Policy Form - Insuring Two Fee Parcels and Two Easement Estates 1

SCHEDULE A

GF NO.:

Owner Policy No.: O-5841-

Date of Policy:

Amount of Insurance: $

1. Name of Insured:

2. The estate or interest in the land which is covered by this policy is:

Fee Simple as to Parcels I and III Easement Estates as to Parcels II and IV.

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:

PARCEL I:

LOT 1, BLOCK 1, ROYAL ACRES, a subdivision of land in Peanutsville City, Schultz County, State of Comics, according to the recorded plat thereof.

PARCEL II:

A non-exclusive easement for ______________ purposes, appurtenant to Parcel I, as established by the instrument recorded in Book _______, Page _______, over the following described area: _____________________________________________________________________________

________________________________________________________.

PARCEL III:

LOT 21, BLOCK 1, ROYAL ACRES, a subdivision of land in Peanutsville City, Schultz County, State of Comics, according to the recorded plat thereof.

PARCEL IV:

A non-exclusive easement for ______________ purposes, appurtenant to Parcel III, as established by the instrument recorded in Book _______, Page _______, over the following described area: ___________________________________________________________________________

__________________________________________________________.