87 ALTA OWNER’S POLICY OF TITLE INSURANCE CHICAGO TITLE NCS DC | MD Copyright American Land Title Association. All rights reserved. The use of this Form (or any derivative thereof) is restricted to ALTA licensees and ALTA members in good standing as of the date of use. All other uses are prohibited. Reprinted under license from the American Land Title Association. ALTA Owner's Policy of Title Insurance w-DC Mod (07/01/2021) Printed: 11.10.23 @ 05:28 PM Page 4 DC-CT-FA61-02100.141018-SPS-72512-1-23-SampleDCACC CHICAGO TITLE INSURANCE COMPANY OWNER'S POLICY NO. SampleDCACC Transaction Identification Data, for which the Company assumes no liability as set forth in Condition 9.d.: Property Address: 1901 Pennsylvania Ave., NW, Suite 201, Washington, DC 20006 SCHEDULE A Name and Address of Title Insurance Company: Chicago Title Insurance Company 1901 Pennsylvania Ave., NW, Suite 201 Washington, DC 20006 Policy Number: SampleDCACC Date of Policy Amount of Insurance November 10, 2023 at 12:00 PM $0.00 1. The Insured is: Sample Buyer, LLC, a DC limited liability company 2. The estate or interest in the Land insured by this policy is: Fee Simple 3. The Title is vested in: Sample Buyer, LLC, a DC limited liability company by virtue of Special Warranty Deed dated __________ and recorded __________, as Instrument No. ________ . 4. The Land is described as follows: All that certain lot or parcel of land together with all improvements thereon located and being in the District of Columbia and being more particularly described as follows: BEGINNING at the intersection of the West line of 19th Street with the North line of Pennsylvania Avenue and running with the line of said Avenue, North 65 degrees 59' West, 98.48 feet to the center line of a party wall; thence with said center line, North 24 degrees O I' East, 40.50 feet to an angle; thence still with said center line and a prolongation thereof, North 18 degrees 14' 40" East, 68.63 feet to the South line of a public alley; thence East along said South line, 52 feet to the West line of 19th Street; thence South along said West line, 142.21 feet to the place of beginning. THIS POLICY VALID ONLY IF SCHEDULE B IS ATTACHED END OF SCHEDULE A Chicago Title NCS DC l MD Page 113
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