Notice is hereby provided of the existence of the following lease:

1. LESSOR: ___________________

2. LESSEE: ____________________

3. LEASED PREMISES: _______________

4. TERM OF LEASE is _________ years commencing on ___________, 19_____ and ending on ___________, 19___.

5. OPTIONS TO EXTEND LEASE: _________________

6. OPTION TO ACQUIRE PROPERTY OR RIGHT OF FIRST REFUSAL: ________________________________________________________________

_______________________________

Lessor

_______________________________

Lessee

State of _____________________

Country of ___________________ Date: ____________

Then personally appeared ______________ (name) who acknowledged the foregoing, before me.

______________________________

(Notary Seal)