Amendment to Contract

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Amendment Number __ 1. Names. This amendment is made by _________________ and _________________. 2. Terms of the Amendment. We agree to the following amendment of the _________________ dated _________________ concerning: _____________________ _______________________________________________________________________ In all other respects, the terms of the original contract and any earlier amendments will remain in effect. If there is conflict between this amendment and the original contract or any earlier amendment, the terms of this amendment will prevail. SELLER Name of Business: ______________ a ____________________________ By: __________________________ Dated: _________________ Printed Name: _________________ Title: ________________________ PURCHASER Name of Business: ______________ a ____________________________ By: __________________________ Dated: _________________ Printed Name: _________________ Title: ________________________ Page 1

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