AGREEMENT, made the......day of......nineteen hundred and......

between .......... hereinafter designated as the party of the first part, and

...........hereinafter designated as the party of the second part:

WITNESSETH, that the party of the first part, the holder of a certain bond made by...........dated........19..., secured by a mortgage bearing even date therewith, and recorded in the office of the......of the County of......, in Liber......of Mortgages, page ......, on which bond there is now due the sum of .......... dollars, with interest thereon, in consideration of one dollar paid by said party of the second part, and other valuable consideration, the receipt whereof is hereby acknowledged, does hereby extend the payment of the principal indebtedness secured by said bond to the......day of.......

nineteen hundred and ........;

PROVIDED the party of the second part meanwhile pay interest on the amount owing on said bond at the rate of......per centum per annum, from

........ 19..., semi-annually, on the first days of ........ and ........ in each year and also comply with all the other terms of said bond and mortgage as hereby modified:

AND ............, the party of the second part, in consideration of the above extension and of one dollar paid by said party of the first part, and other valuable consideration, the receipt whereof is hereby acknowledged, does hereby covenant to pay said principal sum and interest as above set forth, and not before the maturity thereof as the same is hereby extended, and to comply with the other terms of said bond and mortgage; and the party of the second part covenants that the principal and the interest hereby agreed to be paid, shall be a lien on the mortgaged premises and be secured by said bond and mortgage, and that when the terms of said bond and mortgage in any way conflict with the terms and provisions of this agreement, the terms and provisions of this agreement shall prevail, and that there are no offsets or defences to said bond and mortgage.

The party of the second part represents that said ............, party of the second part, now owns the premises described in said mortgage.

AND .........., the party of the second part, covenants with the party of the first part as follows:

1. That the party of the second part will pay the indebtedness as hereinbefore provided.

2. That the party of the second part will keep the buildings on the premises insured against loss by fire for the benefit of the party of the first part.

3. That no building on the premises shall be removed or demolished without the consent of the party of the first part.

4. That the whole of said principal sum shall become due after default in the payment of any installment of principal or of interest for ...... days, or after default in the payment of any tax, water rate or assessment for .......

days after notice and demand.

5. That the holder of said Mortgage, in any action to foreclose it, shall be entitled to the appointment of a receiver.

6. That the party of the second part will pay all taxes, assessments or water rates, and in default thereof, the party of the first part may pay the same.

7. That the party of the second part within ........ days upon request in person or within ......days upon request by mail will furnish a statement of the amount due on said Mortgage.

8. That notice and demand or request may be in writing and may be served in person or by mail.

9. That the party of the second part warrants the title to the premises.

IN WITNESS WHEREOF, this agreement has been duly executed by the parties hereto.

In presence of:

.....................................

(ACKNOWLEDGMENT)