___________ (Landlord) and ____________ (Tenant), hereby modify and amend the lease,

dated ________________, regarding the property at ____________________________________________ in the following details:
___________________________________,
___________________________________,
___________________________________.

(Describe the details)

Both Landlord and Tenant agree that all other terms and conditions of the Lease remain in effect throughout the term of the Lease.

Date: ____________________________

__________________________________
Landlord’s Signature

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Landlord’s Name