Policy of title insurance.
Application No. _________. Premium $_____. Amount $_____. _________ Title Insurance Company, a
corporation of the State of _________("the company"), for a valuable consideration, paid for this policy of title
insurance, does here insure _________[seller and purchaser or mortgagor and mortgagee] together with each
successor in ownership of any indebtedness secured by any mortgage or deed of trust shown in Schedule B, the
owner of which is named as an insured, and any such owner or successor in ownership of any such indebtedness
who acquires the land described in Schedule C, or any part of the land, by lawful means in satisfaction of the
indebtedness or any part of it, and any person or corporation deriving an estate or interest in the land, as an heir or
devisee of a named insured, or by reason of the dissolution, merger, or consolidation of a corporation named insured,
against loss or damage not exceeding $_____, which any insured shall sustain:
by reason of title to the land described in Schedule C being vested, at the date of this policy, otherwise than as
stated in this policy; or
by reason of unmarketability of the title of any vestee to the land, at the date of this policy, unless such
unmarketability exists because of defects, liens, incumbrances, or other matters shown in Schedule B; or
by reason of any defect in, or lien or incumbrance on the title, existing at the date of this policy, not shown in
Schedule B; or
by reason of any defect in the execution of any mortgage or deed of trust shown in Schedule B securing an
indebtedness, the owner of which is insured by this policy, but only to the extent the defect affects the lien or charge
of the mortgage or deed of trust upon the land; or by reason of priority, at the date of this policy, over any such
mortgage or deed of trust, of any lien or incumbrance upon the land, except as shown in Schedule B; all subject,
however, to Schedules A, B and C and the attached stipulations, all of which schedules and stipulations are here
made a part of this policy.
Schedule A.
On _________[date] at _________ o'clock, —.m., the title to the land described in Schedule C is vested in:
_________[or _________ and _________, h
spouse as joint tenants] [or other description of owners and
ownership].
Schedule B.
(A). The company does not, by this policy, insure against loss by reason of:
1. Easements or liens which are not shown by the public records (a) of the District Court of the Federal
District, (b) of the county, or (c) of the city, in which the land or any part of it is situate.
2. Rights or claims of persons in possession of the land which are not shown by those public records which
impart constructive notice.
3. Any facts, rights, interests, or claims which are not shown by those public records which impart
constructive notice, but which could be ascertained by an inspection of the land, or by making inquiry of persons
in possession of the land or by a correct survey.
4. Mining claims, reservations in patents, water rights, claims or title to water.
5. Any governmental acts or regulations restricting, regulating or prohibiting the occupancy or use of the land
or any building or structure on the land.
(B). Liens and incumbrances to which the title is subject shown in the order of their priority, and defects and other
matters to which the title is subject:
1. Taxes for the fiscal year _________[date] to _________[date] a lien, but not yet due or payable.
2. Public utilities easement as shown upon the map referred to below.
3. Declaration of restrictions dated _________ and recorded _________[date] in Book _________ of
Official Records, page _________, executed by _________ and recorded _________[date], in Liber _________
of Official Records, page _________, and reference is here made to the record of restrictions for further
particulars.
4. Deed of trust dated _________ and recorded _________[date] in Book _________ of Official Records,
page _________, executed by _________ to _________, a corporation, as trustee, and _________, as
beneficiary, to secure the payment of $_____ with interest, also such additional sums, etc.
Note: Taxes for the fiscal year _________[date] to _________[date] have been paid.
Note: This policy does not include a report on municipal liens of the City of _________.
Schedule C.
The insured property is described as follows: