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Note and Mortgage Modification Agreement

Sample Mortgage Modification Form

THIS AGREEMENT, made this day of , 20 by and between hereinafter called “Mortgagor”, whose post office address is and Lender hereinafter called “Mortgagee”, whose address is

RECITALS:

1. Mortgagee is the owner and holder of that certain mortgage (Mortgage) dated made by the Mortgagor to Mortgagee, recorded in Book at Page Public Records of , securing a debt evidenced by a Promissory Note (Note) dated , in the original dollar amount of , which Mortgage encumbers property more particularly described in said Mortgage.

2. Mortgagor, the owner in fee simple of all of the property subject to Mortgage, has requested Mortgagee to modify Note and Mortgage and the parties have mutually agreed to modify the terms thereof in the manner hereafter appearing. NOW THEREFORE, in consideration of the mutual covenants hereinafter set forth and in consideration of the sum of Ten Dollars ($10.00), each to the other in hand paid, and other valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereto mutually covenant and agree as follows:

1. The unpaid principal balance of the Note is and that interest has been paid to .

2. The terms and provisions of the Note are amended and modified in accordance with the terms and provisions of Exhibit “A”, attached hereto and incorporated herein by reference, entitled NOTE.

3. The terms and provisions of the Mortgage are amended and modified in accordance with the terms and provisions of Exhibit “B”, attached hereto and incorporated herein by reference, entitled MORTGAGE.

4. Nothing herein invalidates or shall impair or release any covenant, condition, agreement or stipulation in Note and Mortgage and the same, except as herein modified shall continue in full force and effect, and the undersigned further covenant and agree to perform and comply with and abide by each of the covenants, agreements, conditions and stipulations of Note and Mortgage which are not inconsistent herewith.

5. All mortgagee’s rights against all parties, including but not limited to all parties secondarily liable, are hereby reserved.

6. This Agreement shall be binding upon and shall inure to the benefit of the heirs, executors, administrators and assigns, or successors and assigns of the respective parties hereto.

IN WITNESS WHEREOF, this Agreement has been duly executed by the parties hereto the day and year first above written. Signed, sealed and delivered in “Mortgagor” the presence of:

Witness

Witness

Signed, sealed and delivered in “Mortgagee” the presence of: Lender Name

By: Witness Its:

Witness

AS TO MORTGAGOR:

State of Florida County ss:

The foregoing instrument was acknowledged before me this by who is personally known to me or who has produced as identification.

Notary Public

AS TO MORTGAGEE:

State of County ss:

The foregoing instrument was acknowledged before me this by , on behalf of said corporation. Notary Public

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