To: ______________________________________ (seller)

______________________________________ (address)

Please acknowledge that the undersigned, nominee _______________________ (name), in an option given by you, __________________, on ______________ (date), for the purchase of property at ______________________, has chosen to exercise and accept the option and agrees to all its terms and provisions

_____________________ _________________ __________________

Signature Title Date

_____________________ _________________ __________________

Signature Title Date

_____________________ _________________ __________________

Signature Title Date