Know all by these presents that I, _________, of _________, in the County of _________, State of _________, am held and firmly bound to _________, of _________, in the County of _________, State of _________, in the sum of $_____, to the payment of which to obligee or h— executors, administrators, or assigns, I, by this bond bind myself, my heirs, executors and administrators.

The condition of this obligation is that obligor has agreed to sell and convey unto obligee a parcel of real estate situated on _________ Street in _________, and bounded as follows: _________, the same to be conveyed by a good and sufficient warranty deed of obligor, conveying a good and clear title to the same, free from all incumbrances:

For such deed and conveyance it is agreed that obligee shall pay $_____, of which $_____ have been paid this day, and $_____ are to be paid in cash upon the delivery of the deed, and the remainder is to be paid by the note of obligee, dated _________, bearing interest at _____% per annum, payable semiannually, and secured by a power of sale mortgage, in the usual form, upon the premises, such note to be payable to the order of obligor in _________ years from the date of it.

Therefore, if obligor shall, upon tender by obligee of the above stated cash, note, and mortgage, at any time within _________ days from this date, deliver to obligee a good and sufficient deed as above stated, then this obligation shall be void; otherwise it shall be and remain in full force and effect.

In witness, etc.