Legal Change of Office Form

LEGAL CHANGE OF OFFICE FORM

This Legal Change of Office Form is made and entered into as of Effective Date: by and between Company Name: , an entity of type: Corporation LLC Partnership , with current principal office located at: (the "Company"), and Other Party Name: , an entity of type: Corporation LLC , with principal office located at: (the "Counterparty").

RECITALS

WHEREAS, the Company and the Counterparty are parties to one or more agreements and have each heretofore designated a principal office and notice address for receipt of notices and deliveries; and

WHEREAS, the Company seeks to effect a change in the location of its principal office and desires to update the records and notice addresses of the parties in respect of existing agreements as provided herein; and

WHEREAS, the parties wish to record and confirm the new office and notice addresses and the operational effect, if any, of such change.

NOW THEREFORE, in consideration of the mutual covenants and agreements set forth below, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:

1. CHANGE OF PRINCIPAL OFFICE

1.1 Effective as of the Effective Date set forth above, the Company's principal place of business and address for its office records shall be changed to:

1.2 The Company represents that the new office specified above shall be the location for physical records and the principal place of business for corporate, management and administrative purposes, unless otherwise indicated in writing by the Company.

2. NOTICE ADDRESSES

2.1 For the purpose of receipt of notices, demands and other communications under any agreement between the parties, the parties designate the following notice addresses, which shall supersede any previously designated notice addresses only to the extent expressly indicated:

2.2 Notices delivered in accordance with the notice provisions of any existing agreement shall be effective when delivered in accordance with such agreement. Where no method is specified, notice by certified mail or recognized overnight courier to the addresses set forth above shall be effective upon receipt.

3. APPLICABILITY TO AGREEMENTS

3.1 Unless otherwise agreed in writing, the change of office and notice address identified herein shall apply to all existing agreements and obligations between the parties Apply to all agreements Apply to specified agreements only.

3.2 Except as expressly modified by this Form, no change in office shall be construed to amend, waive or otherwise modify any rights, remedies or obligations of the parties under any existing agreement unless such amendment is expressly set forth in a separate written amendment executed by the parties.

4. REPRESENTATIONS AND AUTHORITY

4.1 Each party represents and warrants that it has full corporate or organizational power and authority to enter into this Form and to perform its obligations hereunder, and that the individual signing below is duly authorized to execute this Form on behalf of such party.

5. MISCELLANEOUS

Governing Law. This Form shall be governed by and construed in accordance with the laws of the jurisdiction selected by the parties:

Entire Agreement. This Form constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior oral or written communications, representations, or understandings with respect to the subject matter contained herein, solely to the extent this Form amends notice or office location provisions.

Severability. If any provision of this Form is held to be invalid, illegal or unenforceable by a court of competent jurisdiction, the remaining provisions shall remain in full force and effect and shall be construed so as to effectuate the parties' intent to the fullest extent permitted by law.

Amendments and Waiver. Any amendment or waiver of any provision of this Form must be in writing and signed by both parties. No waiver of a breach of any provision shall be deemed a waiver of any subsequent breach.

Counterparts. This Form may be executed in counterparts, each of which shall be deemed an original, and all of which together shall constitute one and the same instrument. Facsimile, scanned or electronic signatures shall be acceptable and binding for all purposes.

CERTIFICATION

The undersigned certifies under penalty of perjury that they are authorized to execute this Legal Change of Office Form on behalf of the party identified and that the statements and information provided in this Form are true, complete and accurate to the best of their knowledge.

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