Preliminary report for a title insurance policy to be carried by _________ Title Insurance Company, to _________. No liability is assumed by this preliminary report.

_________ Title Insurance Company, in accordance with application No. _________ made to it by _________, here reports that the title to the real property described below is, on _________[date], vested in _________[or in _________ and _________, his wife, as joint tenants] [or other description of owners and ownership]. Subject to:

Subject also to the following terms and conditions:

a. _________[e.g., minimum-cost-of-building restriction].

b. _________[e.g., building-line restrictions].

c. _________[e.g., commercial or industrial use restrictions].

Subject also to:

(1). Deed of trust _________.

(2). Action pending _________.

(3). Declaration of homestead _________.

(4). Notice of tax lien pursuant to Section _________ of Internal Revenue Code, No. _________, in favor of the United States and against _________, in the sum of $_____ and statutory interest from _________[date], to _________[date], and filed on _________[date], in the office of the recorder of the County of _________, State of _________, under File No. _________. Tax list received _________[date].

Description

All that certain parcel of land situate in the County of _________, State of _________, described as follows: _________.

[Map]

This map is for reference only.