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