Fill and Sign the Notice of Lease for Recording Pennsylvania Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: Company: Address: City: State: Zip: Phone: Fax: 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 agreement 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 PENNSYLVANIA COUNTY OF ______________ On this, the ____________ day of __________________, ____________, before me ________________________________________, the undersigned officer, personally appeared _____________________________________, known to me (or satisfactorily proven) to be the person whose name ______________________ subscribed to the within instrument, and acknowledged that ______________________________________ (he/she/they) executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official seal. ______________________________ Notary Public Printed Name: _________________ My Commission Expires: _____________________ STATE OF PENNSYLVANIA COUNTY OF ______________ On this, the ____________ day of __________________, ____________, before me ________________________________________, the undersigned officer, personally appeared _____________________________________, known to me (or satisfactorily proven) to be the person whose name ______________________ subscribed to the within instrument, and acknowledged that ______________________________________ (he/she/they) executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official seal. ______________________________ 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: