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Chapter 10

Form 10-4

Modification and Extension Agreement

Notice of confidentiality rights: If you are a natural person, you may remove or strike any or all of the following information from any instrument that transfers an interest in real property before it is filed for record in the public records: your Social Security number or your driver’s license number.

Basic Information

Date:

Holder of Note and Lien:

Holder’s Mailing Address:

Obligor:

Obligor’s Mailing Address:

Note

Date:

Original principal amount:

Borrower:

Lender:

[Maturity date:]

Unpaid Principal and Interest on Note:

Lien Documents: [include recording information]

Property (including any improvements):

Extended Maturity Date of Note:

Modified Terms:

Obligor’s Covenants and Warranties

The Note is secured by liens against the Property. Whether Obligor is primarily liable on the Note or not, Obligor nevertheless agrees to pay the Note and comply with the obliga­tions expressed in the Lien Documents.

For value received, Obligor renews the Note and promises to pay to the order of Holder of Note and Lien, according to the Modified Terms, the Unpaid Principal and Interest on Note. All unpaid amounts are due by the Extended Maturity Date of Note. Obligor also extends the liens described in the Lien Documents.

The Note and the Lien Documents continue as written, except as provided in this agree­ment.

Obligor warrants to Holder of Note and Lien that the Note and the Lien Documents, as modified, are valid and enforceable and represents that they are not subject to rights of offset, rescission, or other claims.

When the context requires, singular nouns and pronouns include the plural.

   
[Name of obligor]

   
[Name of holder]

Include acknowledgments.