Fill and Sign the Before Me Personally Appeared Name of Form

Prepared by, recording requested by and return to:Name: Company: Address: City: State: Zip: Phone: Fax: ----------------------Above this Line for Official Use Only--------------------- MEMORANDUM AND NOTICE OF OPTION TO PUCHASE THIS notice is entered into and provided by ________________________________________, "Seller(s) and ______________________________________, “Buyer(s)”, on the date stated below.FOR VALUABLE CONSIDERATION, the receipt and sufficiency of which is hereby acknowledged, Buyer(s) grants to Seller(s) an exclusive option to purchase real property owned by Seller(s) and located in ________________ County, _____________________, such real property being more fully described as follows:SEE ATTACHED EXHIBITThe option is for a period of __________ ( ) years commencing on _______________________________ and ending on _____________________________. The option is subject to the terms and conditions of that certain option agreement between Seller(s) and Purchaser(s) dated the ______ day of ________________, _________. IN WITNESS WHEREOF, on this the ______ day of ____________, 2000.________________________________ Witness________________________________ Witness_____________________________________ Seller________________________________ Witness________________________________ Witness_____________________________________Seller________________________________ Witness_____________________________________ Buyer ________________________________ Witness________________________________ Witness________________________________ Witness_____________________________________BuyerSTATE OF VERMONTCOUNTY OF _________________ On this _________ day of ____________________________, _________________, before me personally appeared ____________________________________________ (name of person acknowledging) to me known to be the person who executed the foregoing instrument, and _____________________________ (he/she/they) thereupon duly acknowledged to me that _____________ (he/she/they) executed the same to be _______ (his/her/their) free act and deed. ______________________________Notary PublicPrint Name: ___________________ My commission expires:_____________________ STATE OF VERMONTCOUNTY OF _________________ On this _________ day of ____________________________, _________________, before me personally appeared ____________________________________________ (name of person acknowledging) to me known to be the person who executed the foregoing instrument, and _____________________________ (he/she/they) thereupon duly acknowledged to me that _____________ (he/she/they) executed the same to be _______ (his/her/their) free act and deed. ______________________________Notary PublicPrint Name: ___________________ My commission expires:_____________________Seller Name and AddressBuyer Name and AddressName:Name: Address:Address:City:City:State: Zip:State: Zip:Phone:Phone:Seller Name and AddressBuyer Name and AddressName:Name:Address:Address:City:City:State: Zip:State: Zip:Phone:Phone: