This agreement made this ...... day of......, 19......., between ......, of......, party of the first part, and......, of

......, party of the second part, witnesseth:

Said party of the first part does hereby demise and lease unto the said party of the second part the following described premises, situate in the county of ......, state of ......, to-wit: (describe), with all the rights, privileges and appurtenances thereunto belonging, to have and to hold the same for the period of ......months (or years) from the date hereof.

In consideration of said demise and lease, said party of the second part hereby agrees to pay as rent for said premises, in lawful money of the United States, as follows, viz., the sum of dollars, cash in hand at the execution of this instrument, and the sum of......dollars per month, on the......day of each and every month thereafter to and including the ...... day of

......, 19........; and also, in addition to the foregoing sums, to pay as rent all taxes and assessments, including the taxes for the current year, which may, from time to time, be levied or charged against said premises by the State of......, or by any governmental authority under the laws of said State, at or before the time whereof they shall be payable, so as to avoid all penalties on account of non-payment thereof. Also, at all times, to keep said property insured against loss or damage from fire, in some reliable insurance company, to be approved by said party of the first part, in the sum of......dollars, loss payable to the party of the first part, as his interest may appear, policies for which insurance shall be delivered to the party of the first part.

In the event that the party of the second part shall, at any time, fail to pay such taxes or assessments, when due and payable, or to provide and maintain such insurance, then, in either said event, the party of the first part may, at his option, either pay such taxes or assessments, or provide such insurance, in which case the amount so paid by the party of the first part, together with interest thereon, at the rate of......per cent. per annum, from the date of such payment, shall be payable upon demand, as part of the rent reserved; or, in the event of the failure of said party of the second part to make such payments, or any of them, at the times and in the manner above set forth, the party of the first part shall have the right to declare this lease at an end, and to re-enter and take possession of said demised premises and expel said party of the second part therefrom, without in any wise being a trespasser in so doing; and the failure of the said party of the first part, at any time or times, thus to re-enter and take such possession, shall not be construed as a waiver on his part, or to estop him at any time thereafter from so doing, the cause of forfeiture then continuing or upon any recurrence thereof.

Said demised premises shall be used and occupied as ......

and for no other purpose whatsoever; and the said party of the second part shall exercise reasonable care in the preservation of said demised premises.

At the expiration of this lease, whether by the expiration of the full term thereof, or by reason of a forfeiture by the party of the second part, under the stipulations therein contained, said party of the second part shall surrender to said party of the first part said premises, peaceably and in good order, natural wear and tear and the act of God excepted, and the occupation of said premises thereafter shall give the party of the second part no rights therefrom as a tenant.

It is further agreed, as a consideration of this lease, that the party of the first part does hereby give and grant unto the said party of the second part at, or at any time prior to, the termination of this lease, by lapse of time or forfeiture thereof, the right and option to purchase said demised premises, upon the following terms, to-wit: To pay to such party of the first part, such sum as added to the payments theretofore made, less such payments as shall have been made for taxes, assessments and insurance, whether made by the party of the first part or by the party of the second part, and if paid by the party of the first part, with interest thereon at......per cent. as equaling the sum of......

dollars, together with such additional sum as would equal interest at the rate of six per cent. per annum upon the monthly payments from the date hereof until the sum shall have been paid; such payments having thus been made, the party of the first part shall execute and deliver to said party of the second part his warranty deed for said premises, upon the payment to him, the said party of the first part, by the said party of the second part, in cash, the further sum of...... dollars; provided that said party of the second part shall have the right to divide said last sum into five equal annual payments, and secure the payment thereof, of his promissory notes therefor, due respectively on or before one, two, three, four and five years from said date, said notes to be negotiable and payable to the order of the party of the first part at some bank in the city of......, to bear interest at the rate of

......per cent. per annum, payable semi-annually, and payment thereof to be secured by mortgage upon said demised premises.

It is expressly understood and agreed that unless, and until the party of the second part shall exercise the option hereby granted him to purchase said demised premises, and to make the payments and execute the notes and mortgages requisite to the exercise of such option, his only estate in said premises shall be that of tenant thereof.

And it is further agreed that said party of the second part shall not sublet said premises, nor assign this lease and condition to purchase, without the written consent of the party of the first part first had and obtained and endorsed hereon.

In witness whereof, etc.