54-10 Agreement

COMMONWEALTH OF VIRGINIA SS: COUNTY OF FAIRFAX I CERTIFY that on January ___, 2010, ___________________, the ________________ of SUNRISE SENIOR LIVING SERVICES, INC., a Delaware corporation, which is the sole member of SUNRISE WEST ORANGE NJ SENIOR LIVING, LLC, a Delaware limited liability company, personally came before me and stated to my satisfaction that this person: (a) was the maker of the attached instrument; (b) was authorized to and did execute this Deed as the ________________ of SUNRISE SENIOR LIVING SERVICES, INC., which is the sole member of SUNRISE WEST ORANGE NJ SENIOR LIVING, LLC the entity named in this Deed; and (c) made this Deed for TEN DOLLARS ($10.00), as the full and actual consideration paid or to be paid for the transfer of title. (Such consideration is defined in N.J.S.A. 46:15-5). DEED Dated __________ __, 2010 Record and return to: Grantor SUNRISE WEST ORANGE NJ SENIOR LIVING, LLC, a Delaware limited liability company c/o Sunrise Senior Living 7900 Westpark Dr. Suite T-900 McLean, Virginia 22102 TO Grantee ______________________________ a ____________________________ whose post office address is c/o ____________________ _______________________ _______________________ Exhibit C, Page N-1 GENBUS/718957.4