Type of Policy - 2006 Form
-- Please Select -- Owner and Lender Owner Only Lender Only Lender Only - 1970 Form Lender Only - 1992 Form Leasehold Not Known

Amount of Insurance
-- Please Select -- Under $500,000.00 $500,000.00 - $2,000,000.00 $2,000,000.00 - $10,000,000.00 $10,000,000.00 - $50,000,000.00 Over $50,000,000.00

Financing
-- Please Select -- None / Cash Bank Loan Mortgage Broker Insurance Company Pension Fund Private Financing Seller Take-Back Mezzanine Financing Other

Settlement Date
-Month- January February March April May June July August September October November December -Year- 2012 2013 2014 2015