Notice is hereby provided of the existence of the following lease：

1. LESSOR： _

2. LESSEE： _

3. LEASED PREMISES： _

4. TERM OF LEASE is _ years commencing on _， 19_ and ending on _， 19_.

5. OPTIONS TO EXTEND LEASE： _

6. OPTION TO ACQUIRE PROPERTY OR RIGHT OF FIRST REFUSAL： _

_______________________________ Lessor

_______________________________ Lessee

State of _ County of _                        Date： _

Then personally appeared _ who acknowledged the foregoing， before me.

______________________________
 [Notary Seal]                               Notary Public