Fill and Sign the Lease Increase Rent Form

Modification of Lease to Extend the Term of the Lease and Increase the Rent Agreement made on the       day of       , 20       , between       of       , (Name of Lessor) (Street Address, City, County, State, Zip Code) referred to herein as Lessor, and       , of (Name of Lessee)       , referred to herein as Lessee. (Street Address, City, County, State, Zip Code) Whereas, the parties to this Agreement have entered into a Lease Agreement dated       (Date) a copy of which is attached to this Agreement as Exhibit A, and made a part hereof by reference thereto; and Whereas , said Lease Agreement covers the land and property (the Property ) located at       , and which is more particularly described in (Street Address, City, County, State, Zip Code) Exhibit B attached hereto and made a part hereof; and Whereas , the parties desire to enter into a new Agreement modifying and/or amending the provisions of the said Lease Agreement, hereinafter called the Lease; and Whereas , the term of the Lease expires on       , hereinafter called the Lease (Date) Termination Date; and Whereas , Lessor and Lessee desire to extend the Lease for a term of       years from (Number) the Lease Termination Date. Now, therefore, for and in consideration of the mutual covenants contained in this agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: 1. Construction. This Lease Modification and Extension Agreement shall be construed in conjunction with the aforesaid Lease and, except as amended by this instrument, all of the terms, covenants, and conditions of the Lease shall remain in full force and effect and are ratified and confirmed by this instrument. 2. Defined Terms. All terms used in this Lease Modification and Extension Agreement shall have the meanings ascribed to them in the Lease unless otherwise defined in this instrument. 3. Term of Lease. The term of the Lease shall be extended to and shall terminate on       . (Date) Modification of Lease Page 1 of 2 4. Base Rent. Beginning on       , Lessee shall pay base rent in the amount of (Date) $       , payable in advance on the first day of each in the manner provided in the Lease. 5. Additional Rent. Lessee shall make payments with respect to real estate taxes, operating expenses, and other additional rent, if any, in the manner provided in the Lease. WITNESS our signatures as of the day and date first above stated. By: By: (P rinted Name of Lessor) (P rinted Name of Lessee)             (Signature of Lessor) (Signature of Lessee) Attach Exhibits Modification of Lease Page 2 of 2