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CONTRACT FOR CONDITIONAL SALE OF REAL ESTATE

THIS CONTRACT, made and entered into by and between

(hereinafter called “Seller”) and ,

(hereinafter called “Buyer”).

“Each of the above individuals being over eighteen (18) years of age.”

WITNESSETH:

Seller hereby agrees to and does sell to Buyer, and Buyer hereby agrees to and does purchase from Seller, the following described

real estate (including any improvements now or hereafter located on it) in

County, Indiana, (such real estate, including improvements, being hereafter called the “Real Estate”):

upon the following covenants, terms and conditions:

SECTION 1. THE PURCHASE PRICE AND MANNER OF PAYMENT.

1.01. THE PURCHASE PRICE. As the purchase price for the Real Estate, Buyer agrees to pay to Seller and Seller agrees to accept

from Buyer the sum of

Dollars ($ ).

1.02. MANNER OF PAYMENT. The purchase price shall be paid in the following manner:

(a) The sum of

Dollars ($ ) upon the execution and delivery of this Contract. The receipt of such sum is hereby

acknowledged by Seller, leaving an unpaid balance of the purchase price in the sum of

Dollars ($ ). That amount, as it is reduced by payments and expenses of

Buyer properly credited under this Contract, and as it is increased by payments and expenses of Seller properly made and incurred under

this Contract, is hereinafter called the “Unpaid Purchase Price”.

(b) The Unpaid Purchase Price shall bear interest at the rate of

per cent ( %) per

annum. Interest at such rate shall begin to accrue from the date of this Contract, or from the date payments made and costs and expenses

incurred by Seller are added to the Unpaid Purchase Price pursuant to this Contract, as may be applicable.

Dollars ($ ), beginning

. Subsequent installments shall be paid on the same day of each month thereafter until the

day of , , at which time Buyer shall pay to Seller the balance of the unpaid purchase

price and all other amounts Buyer is obligated to pay under this Contract.

(d) Buyer shall have a grace period of seven (7) days from the due date of any installment required under this Contract within which

to pay such installment. If such installment is not actually received by Seller within the grace period, then a late charge in a sum equal

to five per cent (5%) of such installment shall accrue and be immediately due and payable.

(e) Each installment received by Seller shall be applied: first to accrued late charge, then to interest accrued to the due date of such

installment, and then to the reduction of the Unpaid Purchase Price. Interest shall be computed monthly unless both Seller and Buyer initial

here

, in which case interest shall be computed

(f) Each payment under this contract shall be sent to Seller at the following address:

, or at such other address as Seller shall designate in writing.

SECTION 2. PREPAYMENT OF PURCHASE PRICE.

2.01 Buyer shall have the privilege of paying without penalty, at any time, any sum or sums in addition to the payments herein

required. It is agreed that no such prepayments, except payment in full, shall stop the accrual of interest on the amounts so paid until the

next succeeding computation of interest after such payment is made. Interest shall not accrue after the date on which Buyer makes any

payment that constitutes full payment of the Unpaid Purchase Price.

SECTION 3. TAXES, ASSESSMENTS, INSURANCE, AND CONDEMNATION.

3.01. TAXES. Buyer agrees to assume and pay the taxes on the Real Estate beginning with the installment payable

, together with all installments of real estate taxes due and payable thereafter, and Seller agrees

to pay all taxes on the Real Estate due prior to said installment. Buyer, upon written notice to Seller, and at Buyers expense, may contest

on behalf of the parties any changes in the assessed value of the Real Estate. Seller shall forward or cause to be forwarded to Buyer, when

received, a copy of all statements for taxes and any assessments on the Real Estate which are payable by Buyer hereunder, and Buyer shall

provide to Seller, upon request, evidence of payment of such taxes and assessments.

3.02. ASSESSMENTS. Buyer agrees to pay any assessment or charges upon or applying to the Real Estate for public or municipal

improvements or services which, after the date of this Contract, are assessed or charged to the Real Estate. Seller agrees to pay any such

assessments or charges to and including the date of this Contract.

3.03. PENALTIES. The parties hereto agree to pay any penalties, whether in the form of interest or otherwise, in connection with

the late or untimely payment of such taxes, assessments or charges, for which they are responsible under this Section 3.

3.04 INSURANCE. At all times during the period of this Contract, Buyer shall:

(a) Keep the improvements located upon the Real Estate insured under fire and extended coverage policies in an amount not less

than the Unpaid Purchase Price, and

(b) Keep Flood Hazard Insurance on the Real Estate in the amount of the Unpaid Purchase Price or the highest amount available

if less than the Unpaid Purchase Price if; the Real Estate is located in a Flood Hazard Zone as shown by a current certificate of survey

according to the maps in the office of the County Surveyor, unless such insurance coverage is waived in writing by the Seller, and

(c )Keep standard liability insurance with coverages in amounts not less than One Hundred Thousand Dollars ($100,000.00) per

person and Three Hundred Thousand Dollars ($300, 000.00) per occurrence, and

(d) Pay premiums on such insurance policies as they become due and provide Seller with written proof of such insurance coverage

annually and as Seller may reasonably request. Such policies of insurance shall be carried with a company or companies approved by the

Seller and legally authorized by the State of Indiana to engage in such business. Such policies of insurance shall also be issued in the name

of the Seller and Buyer, as co-insureds and shall provide that the insurer may not cancel or materially change coverage without at least

thirty (30) days prior written notice to Seller and Buyer.

Except as otherwise agreed hereafter in writing, Buyer shall not enter into the settlement of any insurance claim covered under the

foregoing insurance policies without the written consent of Seller. Any insurance proceeds received as payment for any loss of, or damage

to the Real Estate covered by said insurance, shall be applied to the restoration and repair of the loss or damage. All restoration and repairs

shall be performed in accordance with all state and local building codes and shall meet the quality of the improvements pre-existing and

loss or damage and all work shall be performed by a duly licensed contractor. Notwithstanding the above provisions, if there exists an

uncured Event of Default by Buyer under this Contract on the date of receipt of such proceeds, the proceeds may be applied, at Seller’s

option, toward prepayment of the Unpaid Purchase Price, with any excess to be paid to the Buyer.

3.05. RIGHTS OF PARTIES TO PERFORM OTHER’S COVENANTS.

(a) If one of the parties hereto (hereinafter called “Responsible Party”) fails to perform any act or to make any payment required

by this Section 3, the other party (hereinafter called “Non-responsible Party”) shall have the right at any time and without notice, to

perform any such act or to make any such payment, and in exercising such right, to incur necessary and incidental costs and expenses,

including attorney fees. Nothing in this provision shall imply any obligation on the part of the Non-responsible Party to perform any act

or to make any payment required of the Responsible Party under the terms of this Contract.

(b) The exercise of such right by a Non-responsible Party shall not constitute a release of obligation of the Responsible Party under

this Section 3 or a waiver of any remedy available under this Contract; nor shall such exercise constitute an estoppel to the exercise by

a Non-responsible Party of any right or remedy of his for a subsequent failure by the Responsible Party to perform any act or make any

payment required by him under this Section 3.

(c) Payments made and all costs and expenses incurred by a Non-responsible Party in connection with the exercise of such right

shall, at his option, either (i) be paid to him by the Responsible Party within thirty (30) days after written demand therefore; or (ii) on the

date the next installment payment is due under this Contract, following written notice, be added to the Unpaid Purchase Price, if Buyer

is the Responsible Party, or applied to reduce the Unpaid Purchase Price, if Seller is the Responsible Party.

(d) In the event a Non-responsible Party makes any such payments or incurs any such cost and expenses, the amount thereof shall

bear interest at the rate provided under Section I of this Contract, from the respective dates of making the same, until paid in full, or to

the date such amounts are added to, or applied against, the Unpaid Purchase Price.

3.06. CONDEMNATION. From the date hereof, Buyer shall assume all risk of loss or damage by reason of condemnation or taking

of all or any part of the Real Estate for public or quasi-public purposes, and no such taking shall constitute a failure of consideration or

cause for recession of this Contract by Buyer. Should all or any part of the Real Estate be condemned and sold by court order, or sold

under the threat of condemnation to any public or quasi-public body, the net amount received for the damage portion shall be retained

by Buyer, and net amount received for the Real Estate value shall be paid to Seller and applied as a reduction of the Unpaid Purchase Price.

The authority and responsibility for negotiation, settlement, or suit shall be Buyer’s. If Buyer incurs expenses for appraisers, attorneys,

accountants or other professional advisers, whether with or without suit, such expenses and any other applicable cost shall be deducted

from the total proceeds to calculate the “net amount” and shall be allocated proportionately between the amount determined as damages

and the amount determined for value of the Real Estate. If no determination is made of separate amounts for damages and Real Estate

value, then the net amount shall be divided between Buyer and Seller, with Seller’s amount to be applied as a reduction of the Unpaid

Purchase Price.

SECTION 4. POSSESSION.

4.01. DELIVERY OF POSSESSION. Seller shall deliver to Buyer full and complete possession of the Real Estate on or before

. After such possession date, Seller shall pay to Buyer

Dollars ($ ) per day for each day Seller withholds

possession of any portion of the Real Estate from Buyer, and such amount shall be applied to a reduction of the Unpaid Purchase Price.

Such payment, however, shall not serve to extend the date upon which possession must be delivered to Buyer. Buyer’s right of possession

shall continue until terminated pursuant to Section 9. All utilities shall be paid by seller to the date possession is given.

4.02. CROPS. All crops which have been planted upon the Real Estate prior to

shall belong to Seller, who shall have the right of ingress and egress across the Real Estate for the purpose of harvesting such crops. All

other crops shall belong to Buyer.

SECTION 5. EVIDENCE OF TITLE. (If title evidence is furnished herewith, strike Subsection 5.02)

5.01 Seller has furnished Buyer an Owner’s title insurance policy disclosing marketable title to the Real Estate to date of

, subject, nevertheless to the following exceptions:

(If title evidence is to be furnished after execution of this Contract, strike Subsection 5.01)

5.02 If Buyer is not in default under this Contract, Seller will furnish Buyer an Owner’s title insurance policy disclosing marketable

title to the Real Estate to a date which is the earlier of :

(a) date after execution of this Contract specified by Buyer in a notice to seller or

(b) a date 60 days prior to the date the final payment under this Contract is due.

5.03. TITLE INSURANCE. A title insurance policy furnished under this Contract shall be in the amount of the purchase price and

shall be issued by an insurer satisfactory to the Buyer.

5.04. ADDITIONAL TITLE EVIDENCE. Any additional title evidence shall be at the expense of Buyer, provided, however, that

the cost of additional title evidence necessitated by acts or omissions of Seller shall be borne by Seller.

5.05. CONVEYANCE OF TITLE. Seller covenants and agrees that upon the payment of all sums due under this Contract and the

prompt and full performance by Buyer of all covenants and agreements herein made, Seller will convey or cause to be conveyed to Buyer,

by Warranty Deed, the above described Real Estate, subject to restrictions and easements of record as of the date of this Contract and all

taxes and assessments which are Buyer’s obligations.

SECTION 6. SELLER’S RIGHT TO MORTGAGE THE REAL ESTATE.

6.01. MORTGAGE LOAN. Without Buyer’s consent and without obligation to Buyer except as set forth in this Section 6, Seller

shall have the right to retain, obtain, renew, extend or renegotiate a loan or loans secured by mortgage(s) on the Real Estate (all instruments

evidencing a loan(s)and a mortgage(s) securing it is hereinafter called “Loan”), provided that the terms of each loan do not conflict with

the provisions of Section 6 or any other provision of this Contract. Seller shall pay each loan when due.

6.02. PROVISION OF LOAN. Each Loan made by Seller shall:

(a) be in such principal amount that the aggregate principal balance of all Loans shall not exceed the Unpaid Purchase Price for the

Real Estate;

(b) have total periodic payments which do not exceed the periodic payments by Buyer under this Contract, and shall provide for

the regular amortization rate of the principal of Seller’s Loan which exceeds the amortization rate of the Unpaid Purchase Price of this

Contract;

6.03. NOTICE OF LOAN. Contemporaneously with the execution of a Loan, Seller shall give Buyer written notice and inform

Buyer in reasonable detail of the principal amount of the Loan, the name and address of the mortgagee, the installments payable under

the Loan, and such other terms as Buyer may reasonably request.

6.04. DEFAULT OF LOAN. In the event of Seller’s default of a Loan, Buyer shall have the right, on behalf of Seller, to make loan

payments or to cure other defaults. Seller shall, upon written demand of Buyer, pay to Buyer the amount of any such payments and costs

incurred by Buyer incurring other defaults (including in such costs Buyer’s attorney fees) plus interest at the rate under this Contract,

interest on such amount or costs being computed from date of payment or incurring of such cost until paid. Buyer shall have the option

to deduct the amount of such payments, costs, and interest from payments payable under this Contract.

6.05. RELEASES. Upon payment in full by Buyer of all amounts payable under this Contract, Seller shall pay in full all amounts

payable under Loan(s) at the time outstanding and obtain and record, or cause to be recorded, a valid release of Loan(s) so paid.

6.06. ENCUMBRANCE. Seller represents that the Real Estate (is) (is not) encumbered with a Loan. If encumbered, Seller represents

that the information regarding said Loan is as follows:

(a) Name of lender

(b) Unpaid balance of Loan

SECTION 7. ASSIGNMENT OF CONTRACT OR SALE OF INTEREST IN REAL ESTATE.

7.01 If all or any part of the Real Estate, Buyer’s interest therein or Buyer’s interest in this Contract is sold or assigned without

Seller’s prior written consent, the Unpaid Purchase Price, with accrued, but unpaid interest and all other sums due here under shall be

due and payable immediately, at Seller’s option. No assignment or sale shall operate to relieve either party from liability hereon.

SECTION 8. USE OF REAL ESTATE BY BUYER; SELLER’S RIGHTS TO INSPECT.

8.01. The Real Estate (may) (may not) be leased or occupied by persons other than Buyer without prior written consent of Seller.

8.02. IMPROVEMENTS. Buyer may materially alter, change, or remove any improvements now or hereafter located on the Real

Estate, or make any additional improvements, only with prior written consent of Seller. Buyer shall not create, or allow any mechanics,

laborers, materialmen, or other creditors of Buyer or an assignee of Buyer to obtain, a lien or attachment against Seller’s interest herein.

Buyer agrees that the Real Estate and any improvements thereon are, as of the date of this Contract, in good condition, order and repair,

and Buyer shall, at his own expense, maintain the Real Estate and any improvements in as good order and repair as they are in on the date

of this Contract, ordinary wear and tear, and acts of God, or public authorities excepted. Buyer shall not commit waste on the Real Estate,

and, with respect to occupancy and use, shall comply with all laws, ordinances and regulations of any governmental authority having

jurisdiction thereof.

8.03 INSPECTION. Seller shall have the right to enter and inspect the Real Estate at any reasonable time.

8.04. BUYER’S RESPONSIBILITY FOR ACCIDENTS. Buyer assumes all risk and responsibility for injury or damage to person

or property arising from Buyer’s use and control of the Real Estate and any improvements thereon.

8.05. ENVIRONMENTAL REPRESENTATIONS, WARRANTIES, AND COVENANTS OF PARTIES. The Parties make

the following representations, warranties, and covenants:

(a) Seller warrants and represents to the best of his knowledge, there do not currently exist, and Buyer warrants, represents, and

covenants there will not exist during the term of this Contract, any actual or potential contamination of the soil, subsoil, groundwater,

or any other portion of the Real Estate by any hazardous or toxic substance or their constituents, or any underground tanks on the Real

Estate (other than for the use of heating oil for use and consumption of Buyer on the Real Estate).

(b) Seller warrants and represents to the best of his knowledge, Seller and Seller’s predecessors in title have complied at all times

with all applicable federal, state, and local environmental laws and regulations including, without limitation, the Indiana Responsible

Property Transfer Law (“IRPTL”) (IC 13-25-3) as amended, the Comprehensive Environmental Response, Compensation and Liability

Act of 1980 (42 U.S.C. Section 9601, et seq. ) as amended, the Resource Conservation and Recovery Act of 1976 (42 U.S.C. Section

6901, et seq.) as amended, the Toxic Substances Control Act (15 U.S.C. Section 2601, et seq.) as amended, and all regulations under them,

and any other federal statute and any state statute and any municipal ordinance creating liability for treatment, storage, disposal, arranging,

or existence on the Real Estate of any hazardous or toxic substance, including their constituents. (“Environmental Laws”)

(d) Seller warrants and represents to the best of Seller’s knowledge, no environmental filings have been made concerning the Real

Estate with any governmental agency.

(e) Each of the parties indemnifies the other against, and holds the other harmless from, any claim, action, loss, damage, liability,

cost, or expenses (including attorney fees and all reasonable environmental testing expense such party incurs as a result of the other party’s

breach of any representation, warranty, or covenants made in this Section 8.05).

8.06. INDEMNIFICATION. In addition to the provision of Section 8.05, Buyer agrees to indemnify and save harmless Seller from

and against any and all claims, liability, damage, costs or expense which Seller may incur by reason of the Buyer’s use or occupancy of

the Real Estate, or arising out of any act of the Buyer, Buyer’s agents, licensees and invitees.

SECTION 9. BUYER’S DEFAULT AND SELLER’S REMEDIES.

9.01 TIME. Time is of the essence of this Contract.

9.02. BUYER’S DEFAULT. Upon the occurrence of any Event of Default, as hereinafter defined, Seller shall have the right to

pursue immediately any remedy available under this Contract as may be necessary or appropriate to protect Seller’s interest under this

Contract and in the Real Estate.

9.03. EVENT OF DEFAULT. The following shall each constitute an Event of Default for purposes of this Contract:

(a) Failure by Buyer for a period of

days [not less than seven (7) days] to pay any payments

required to be made by Buyer to Seller under this Contract when and as it becomes due and payable.

(b) Lease or encumbrance of the Real Estate or any part thereof by Buyer, other than as expressly permitted by this Contract.

(c) Causing or permitting by Buyer of the making of any levy, seizure or attachment of the Real Estate or any part thereof.

(d) Occurrence of an uninsured loss with respect to the Real Estate or any part thereof.

(e) Institution of insolvency proceedings against Buyer, or the adjustment, liquidation, extension or composition or arrangement

of debts of Buyer or for any other relief under any insolvency law relating to the relief of debtors; or, Buyer’s assignment for the benefit

of creditors or admission in writing of his inability to pay his debts as they become due; or, administration by a receiver or similar officer

of any of the Real Estate.

(f) Desertion or abandonment by Buyer of any portion of the Real Estate.

(g) Actual or threatened alteration, demolition, waste or removal of any improvement now or hereafter located on the Real Estate,

except as permitted by Contract.

(i) Failure by buyer, for a period of thirty (30) days after written notice is given to Buyer, to perform or observe any other covenant

or term of this Contract.

9.04. SELLER’S REMEDIES. Upon the occurrence of an Event of Default, Seller shall elect his remedy under Subsection (a) or

(b) (unless Subsection (c) is applicable.)

(a) Seller may declare this Contract forfeited and terminated, and upon such declaration, all right, title and interest of Buyer in and

to the Real Estate shall immediately cease and Buyer shall then be considered as a tenant holding over without permission and Seller shall

be entitled to re-enter and take immediate possession of the Real Estate and to eject Buyer and all persons claiming under him. Further,

Seller shall have the right to institute legal action to have this Contract forfeited and terminated and to recover from Buyer all or any of

the following:

(1) possession of the Real Estate;

(2) any payment due and unpaid at the time of filing of the action and becoming due and unpaid from that time until possession

of the Real Estate is recovered;

(3) interest on the Unpaid Purchase Price from the last date to which interest was paid until judgement or possession is recovered

by Seller, whichever shall occur first; provided, however, that this shall not be construed as allowing the Seller to recover any interest

which would included under Subsection (a)(2) above;

(4) due and unpaid real estate taxes, assessments, charges and penalties which Buyer is obligated to pay under this Contract.

(5) premiums due and unpaid for insurance which Buyer is obligated to provide under this Contract.

(6) the reasonable cost of repair of any physical damage or waste to the Real Estate other than damage caused by ordinary wear

and tear and acts of God or public authorities; and

(7) any other amounts which Buyer is obligated to pay under this Contract; or

(b) Seller may declare all of the sums secured by this Contract to be immediately due and payable, and Seller may institute legal

action to recover same. When all of such sums are paid to Seller, Seller shall convey or cause to be conveyed to Buyer, by Warranty Deed,

the Real Estate subject to restrictions and easements of record as of the date of this Contract and all taxes and assessments which are

Buyers obligation.

(c) In the event Buyer has substantial equity in the Real Estate when an Event of Default occurs, then this Contract shall be

considered the same as a promissory note secured by a real estate mortgage, and Seller’s remedy shall be that of foreclosure in the same

manner that real estate mortgages are foreclosed under Indiana law and Seller may not avail himself of the remedies set forth in Subsection

(a) or (b). If this Subsection (c) is applicable, then Seller may declare all of the sums secured by this Contract to be immediately due and

payable, and Seller may immediately institute legal action to foreclose this Contract and Buyer’s interest in the Real Estate. The parties

agree that after Buyer has paid $

of the purchase price (which price means the original purchase price

set forth in Subsection 1.01), then Buyer shall have substantial equity in the Real Estate.

9.05. SELLER’S ADDITIONAL REMEDIES. In addition to the remedies set forth above, upon the occurrence of an Event of

Default, Seller shall be entitled to:

(a) Retain (without prejudice to his right to recover any other sums from buyer, or to have any other remedy under this Contract),

as an agreed payment for Buyer’s use of the Real Estate prior to the Event of Default, all payments made by Buyer to Seller and all sums

received by Seller as proceeds of insurance or as other benefits or considerations pursuant to this Contract.

(b) Request that a receiver be appointed over the Real Estate in accordance with Indiana law providing for real estate mortgage

foreclosures.

SECTION 10. SELLER’S DEFAULT AND BUYER’S REMEDIES.

10.01 If Seller fails to convey the Real Estate as required by this Contract, Buyer may institute legal action against Seller for specific

performance, in which case Seller hereby acknowledges that an adequate remedy for default in such case does not exist at law; or Buyer

may pursue such other remedy as is available at law or in equity.

10.02 If, after seven (7) days notice from Buyer, Seller fails to make any payment required of him under this Contract or to perform

or observe any other of his covenants or agreements, Buyer shall be entitled to institute legal action against Seller for such relief as may

be available at law or in equity. Nothing in this subsection shall interfere with or affect Buyer’s right to any reduction, set-off or credit

to which Buyer may be entitled in the event of Seller’s failure to pay amounts required of him pursuant to this Contract.

SECTION 11. GENERAL AGREEMENTS.

11.01 This Contract shall bind, and inure to the benefit of, the parties and their heirs, personal and legal representatives, successors

and assigns, and shall be interpreted under the laws of the State of Indiana.

11.02 If Seller or Buyer consist of more than one person, each person signing this Contract as Seller or Buyer shall be jointly and

severally bound.

11.03 Headings are for reference only, and do not affect the provisions of this Contract. Where appropriate, the masculine gender shall

include the feminine or the neuter, and the singular shall include the plural.

11.04 A memorandum of this Contract may be recorded and shall be of the same force and effect as though the entire instrument had

been recorded.

11.05 Each party is entitled to recover his reasonable attorney fees, costs, and expenses incurred by reason of enforcing his rights

hereunder, including the expenses of preparing any notice of delinquency, whether or not any legal action is instituted.

11.06 For purposes of listing the Real Estate for sale by Buyer, Buyer shall be deemed to be the “fee titleholder” as this term is used

in the Indiana Real Estate License Laws.

11.07 The failure or omission of either party to enforce any of his right or remedies upon any breach of any of the covenants, terms

or conditions of this Contract shall not bar or abridge any of his rights or rights or remedies upon any subsequent default.

11.08 Any notices to be given hereunder shall be in writing an deemed sufficiently given when (1) served on the person to be notified,

or (2) placed in an envelope directed to the person to be notified at his last known address and deposited in a United States Post Office

mail box, postage prepaid.

11.09 In computing a time period prescribed in this Contract, the day of the act or event shall not be counted. All subsequent

days, including intervening weekend days and holidays, shall be counted in the period.

SECTION 12. ADDITIONAL COVENANTS.

SECTION 13. REPRESENTATIONS. The preparer of this form states under oath that there has been no change or changes made

in the original text of the preprinted form, unless identified in Section 12 (ADDITIONAL COVENANTS), above.

IN WITNESS WHEREOF, Seller and Buyer have executed this Contract on this

day of ,

Seller

Buyer

STATE OF

, COUNTY OF : SS

Before me, the undersigned, a Notary Public in and for said County and State, this

day of ,

, personally appeared:

and acknowledged the execution of the foregoing Contract for Conditional Sale of Real Estate to be his/her/their voluntary act and deed.

Witness my hand and notarial seal this

day of , 20 .

My commission expires:

Resident of County

Signature

Printed Notary Public

STATE OF

, COUNTY OF : SS

Before me, the undersigned, a Notary Public in and for said County and State, this

day of ,

, personally appeared:

and acknowledged the execution of the foregoing Contract for Conditional Sale of Real Estate to be his/her/their voluntary act and deed.

Witness my hand and notarial seal this

day of , 20 .

My commission expires:

Resident of County

Signature

Printed Notary Public

This Instrument was prepared by:

Attorney at Law.

Mail To:

I affirm, under the penalties for perjury, that I have taken

reasonable care to redact each Social Security number in this

document, unless required by law.

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