Received of _________ $_____ as earnest money, and in part payment for the purchase of the following described property situated in the County of _________ and State of _________: _________, which we have this day sold and agreed to convey to _________ for $_____ on terms as follows: _________.

Complete abstract of title continued to date is to be furnished to purchaser at the expense of seller, after which _________ days is to be allowed purchaser for examination of title.

If title to the premises is not good and cannot be made good within _________ days from date this date, this agreement shall be void and the above $_____ refunded. But if the title to the premises is now good, in the name of seller, or is made good in him within _________ days, and the purchaser refuses to accept the same, the $_____ shall be forfeited to _________. But this forfeiture shall in no way affect the right of either party to enforce the specific performance of this contract.

[Signature of seller]

I hereby agree to purchase the property for the price and upon the terms above mentioned, and also agree to the conditions of forfeiture and all other conditions expressed.

[Signature of purchaser]