Fill and Sign the Memorandum Agreement 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 EXHIBIT The 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 agree ment between Lessor(s) and Lessee(s) dated the ______ day of ________________, _________. IN WITNESS WHEREOF, on this the ______ day of ____________, 2000. ________________________________ Lessor _____________________________________ Lessee ________________________________ Lessor _____________________________________ Lessee STATE OF NEW YORK COUNTY OF ___________________On the ____________ day of _________________ in the year __________ before me, the undersigned, personally appeared _____________________________, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, execut ed the instrument. ______________________________ Notary Public Printed Name: _________________ My Commission Expires: _____________________ STATE OF NEW YORK COUNTY OF ___________________ On the ____________ day of _________________ in the year __________ before me, the undersigned, personally appeared _____________________________, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, execut ed the instrument. ______________________________ Notary Public Printed Name: _________________ My Commission Expires: _____________________ Lessor Name and Address Lessee Name and Address Name: Name: Address: Address: City: City: State: Zip: State: Zip: Phone: Phone: Lessor Name and Address Lessee Name and Address Name: Name: Address: Address: City: City: State: Zip: State: Zip: Phone: Phone: