To _________________________, Lessee

Take notice, that pursuant to the provisions of paragraph ________ of that certain Lease under which you hold possession of the hereinafter described premises, I have elected to terminate said lease as of ___________, 19___; said lease is being terminated __________________________________________________ (set forth reason for termination) and you are hereby required to quit and deliver up possession of the premises on or before the above mentioned date.

The lease above mentioned is between ________________, as Lessor, and ___________________ as Lessee, is dated _____________ and covers the property commonly known as

.

Dated: ___________

______________________

(Lessor)