Prepared By: Dylan Coon

Managing Partner

Home Merrit, LLC

Mailing Address: 30 N Gould St Ste R Sheridan, WY 82801

Phone: 303-552-2660

Email: [email protected]

Grantee:Dylan Coon

Return To: 30 N Gould St Ste R Sheridan, WY 82801

STATE OF

COUNTY OF

BEFORE ME, the undersigned authority, on this day personally appeared Dylan Coon, as Manager of Home Merrit, LLC, a Wyoming Limited Liability Company (Affiant) who upon being first duly sworn, deposes on personal knowledge and says that:

1. An agreement for the Purchase and Sale of the real property known as:

Location: , ,

County:

Tax ID:

Legal Description:

was entered into by and between / , whose mailing address is , , , hereinafter referred to, as Seller(s) on .

2. The closing of the purchase and sale of said real property, per the terms of the Agreement, is scheduled to take place on or before , subject to any extensions as provided in the Agreement.

3. The Seller expressly agreed to the recording of this affidavit and memorandum of agreement in accordance with the applicable laws and statutes governing such agreements.

4. A copy of the addendum and agreement for purchase and sale of said real property, including any executed extensions, may be obtained by contacting Home Merrit, LLC, whose mailing address is 30 N Gould St Ste R Sheridan, WY 82801 or by contacting Dylan Coon at 303-552-2660 or email [email protected]

Buyer / Grantee Signature

Printed Name: Dylan Coon

Title: Managing Partner

Business Name: Home Merrit, LLC

Mailing Address: 3524 30 N Gould St Ste R Sheridan, WY 82801

Phone Number: 303-552-2660

Email Address: [email protected]

Witness #1 Signature____________________ Printed Name: ___________________

Mailing Address:_______________________________________________

Witness #2 Signature_____________________ Printed Name: ___________________

Mailing Address_______________________________________________

AFFIANT:

____________________________

State of

Acknowledgment

County of

I HEREBY CERTIFY that on this _____ day of ____ 20___, before me, by means of [ ] physical presence or [ ] online notarization, the undersigned Notary Public of the State and County aforesaid, personally appeared Dylan Coon, who is personally known to me or has produced a Driver's License as valid identification to be the person whose name is subscribed to within this Affidavit and Memorandum of Agreement and who acknowledged to me the due execution of the foregoing document.

IN WITNESS WHEREOF,

, I have hereunto set my hand and official seal the day and year last mentioned above.

______________________________ (SEAL)

Notary Public

My Commission Expires: //__________________