FOR GOOD AND VALUABLE CONSIDERATION, the receipt and sufficiency of which being hereby acknowledged, in respect of a certain lease agreement made between the undersigned for premises
known as_________________________________________________________,
dated the________ day of ______________________, 200__ hereby modify and amend the said lease as follows:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
All other terms and provisions of the lease shall remain as is and un-amended.
Signed under seal this____________ day of________________________, 200__.
TENANT__________________________________________
SIGNATURE_______________________________________
LANDLORD_______________________________________
SIGNATURE_______________________________________
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