Fill and Sign the Notary Public Personally Appeared to Me Known to Be 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.________________________________ Seller_____________________________________ Buyer________________________________ Seller_____________________________________BuyerSTATE OF IOWA COUNTY OF ______________________ On this ____________ day of ______________________, ___________, before me, a Notary Public, personally appeared __________________________________, to me known to be the person named in and who executed the foregoing instrument, and acknowledged that he/she/they executed the same as his/her/their voluntary act and deed. ______________________________Notary PublicPrint Name: ___________________ (Seal, if any)My commission expires:_____________________STATE OF IOWACOUNTY OF ______________________ On this ____________ day of ______________________, ___________, before me, a Notary Public, personally appeared __________________________________, to me known to be the person named in and who executed the foregoing instrument, and acknowledged that he/she/they executed the same as his/her/their voluntary act and deed. ______________________________Notary PublicPrint Name: ___________________ (Seal, if any)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: