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ACKNOWLEDGEMENT OF MODIFIED TERMS

Instructions

  1. After filling in the form, you will be prompted to confirm your order.
  2. Confirming the purchase will send you to PayPal to charge your credit card.
  3. After payment, PayPal will send you back to this website to see your finished document.
  4. All documents produced here are in PDF (Portable Document Format) and can be saved on your computer or viewed with an application like Adobe Acrobat Reader and printed.
  5. The documents produced here can optionally be sent by email as well.
  6. Fill in the entries as described.

Your name
Your address
Your city
Your state
Your ZIP code

(1) DATE
(2) NAME OF PERSON ADVISED
(3) ADDRESS OF PERSON ADVISED
(4) CITY OF PERSON ADVISED
(5) STATE OF PERSON ADVISED
(6) ZIP OF PERSON
(7) DATE OF CONTRACT
(8) MODIFICATIONTO CONTRACT
(9) MODIFICATIONTO CONTRACT
(10) MODIFICATIONTO CONTRACT
(11) NAME
(12) ADDRESS
(13) CITY
(14) STATE
(15) ZIP CODE
(16) TELEPHONE
(17) DATE OF ACCEPTANCE
(18) STATE OF NOTARISATION
(19) COUNTY OF NOTARISATION
(20) DATE OF NOTORISATION
(21) PERSON KNOWN BY NOTARY (Y/N)
(22) PERSON IDENTIFIED BY DOCUMENTS *Y/N)
(23) NAME OF NOTARY

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Regular: $10.00.

  
Email addresses, optional
(to send copy of result)

When you have filled up the form, click the Continue button.

Version 1.5 from 2011-10-13 at 00:39:03 GMT.
Built on Wed Oct 12 20:39:13 2011.
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