Fill and Sign the Notice of Option for Recording Connecticut 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 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 EXHIBIT The 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 _____________________________________ Buyer State of Connecticut County of __________________ On this the ____________ day of _____________________, ____________, before me, ________________________ (name of notary), personally appeared ____________________________________, known to me (or satisfactorily proven) to be the person(s) whose name(s) _________ ( is or are) 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. Date:___________________________ ______________________________ Notary Public Print Name: ___________________ My Commission Expires: ____________________ State of Connecticut County of __________________ On this the ____________ day of _____________________, ____________, before me, ________________________ (name of notary), personally appeared ____________________________________, known to me (or satisfactorily proven) to be the person(s) whose name(s) _________ ( is or are) 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. Date:___________________________ ______________________________ Notary Public Print Name: ___________________ My Commission Expires: ____________________ Seller Name and Address Buyer Name and Address Name: Name: Address: Address: City: City: State: Zip: State: Zip: Phone: Phone: Seller Name and Address Buyer Name and Address Name: Name: Address: Address: City: City: State: Zip: State: Zip: Phone: Phone: