Fill and Sign the Give the Name of the Grantor or Maker Personally Appeared Before Me This Day and Acknowledged 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 LEASE AGREEMENT THIS notice is entered into and provided by ________________________________________, "Lessor(s) and ______________________________________, “Lessee(s)”, on the date stated below.FOR VALUABLE CONSIDERATION, the receipt and sufficiency of which is hereby acknowledged, Lessor(s) lease to Lessee(s) certain real property owned by Lesor(s) and located in ________________ County, _____________________, such real property being more fully described as follows:SEE ATTACHED EXHIBITThe lease is for a period of __________ ( ) years commencing on _______________________________ and ending on _____________________________. The lease is subject to the terms and conditions of that certain lease agreement between Lessor(s) and Lessee(s) dated the ______ day of ________________, _________. IN WITNESS WHEREOF, on this the ______ day of ____________, 2000.________________________________ Lessor_____________________________________ Lessee________________________________ Lessor_____________________________________LesseeSTATE OF NORTH CAROLINA COUNTY OF _____________________ I, a Notary Public, do hereby certify that _________________________________ (here give the name of the grantor or maker) personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and (where an official seal is required by law) official sealThis the ___________________ day of ___________________ (year). (Official seal.) ______________________________Notary Public Printed Name: _________________ My Commission Expires: _____________________STATE OF NORTH CAROLINACOUNTY OF _____________________ I, a Notary Public, do hereby certify that _________________________________ (here give the name of the grantor or maker) personally appeared before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and (where an official seal is required by law) official sealThis the ___________________ day of ___________________ (year). (Official seal.) ______________________________Notary Public Printed Name: _________________ My Commission Expires: _____________________Lessor Name and AddressLessee Name and AddressName:Name:Address:Address:City:City:State: Zip:State: Zip:Phone:Phone:Lessor Name and AddressLessee Name and AddressName:Name: Address:Address:City:City:State: Zip:State: Zip:Phone:Phone: