RECEIPT FOR MEMORANDUM OF AGREEMENT

Between

Name:______________________

And

Name:

Address:

For

Topic:

An agreement for the purchase and sale of the real property known as ______, being more fully described as______ was entered into between ____(Name of the seller) on the day of _____ 20__. The closing of the purchase and sale of said real property per the terms of the agreement is schedule to take place on or before the day of _______, 20__ .

Authorized signature

Sworn to and described before this the _____ day of ___, 20_

(Seal)