For valuable consideration, receipt of which is hereby acknowledged, _________________________, "Landlord"

and _____________________________________, ____________________________________,  "Tenant", 

parties to the Rental Agreement made for premises located at ________________________________________

and dated on ____________________, _________ agree to modify and amend said Rental Agreement 

in the following way(s):

Item 1:


Item 2:


Item 3:


All other terms and covenants of the original Rental Agreement shall remain in full force and effect.

Signed on this ____________________________, 20____.

______________________________________           ____________________________________

Landlord                                                                 Tenant




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