An Agreement was made by and between SENDER’S NAME, whose address is SENDER’S ADDRESS and RECEIVER’S NAME, whose address is RECEIVER’S ADDRESS on the DAY day of MONTH, 20YY (hereinafter referred to as “original stated contract”) set forth below.
WHEREAS, the parties wish to modify the terms of the original stated contract as set forth herein.
NOW THEREFORE, in consideration of the mutual promises herein , the parties, intending to be legally bound, hereby agree that the following constitutes additional terms and conditions of the stated contract.
1. Modification Item 1 : _______________
2. Modification Item 2 : ______________
3. Modification Item 3 : _____________
4. The parties reaffirm no other terms or conditions of the above mentioned original contract not hereby otherwise modified or amended shall be negated or changed as a result of this here stated addendum.
Dated: ____________, 2012