Fill and Sign the Promissory Note Maturity Form

Agreement to Modify Promissory Note and Mortgage to Extend Maturity Date Agreement made on the ____________________________________ (date) , between ______________________________________ (Name of Mortgagor) of ________________________________________________________________________ ________________________________________________________________________ (street address, city, county, state, zip code) , referred to herein as Mortgagor , and ____________________________________________ (Name of Lender) , a corporation organized and existing under the laws of the state of __________________________, with its principal office located at ____________________________________________ ________________________________________________________________________ ____________ (street address, city, county, state, zip code) , referred to herein as Lender . Whereas, Mortgagor has borrowed certain moneys from Lender as evidenced by Loan Number __________________ and the Promissory Note dated ________________ _____________________________________ (date ) in the original principal amount of $_______________ (the Note ), a copy of which is attached hereto as Exhibit A and initialed by both parties, and which Note is secured by that certain Mortgage (the Mortgage) dated ______________________________________ (date) and recorded in Book ___________ at Page ____________ of the office of ________________________ ________________________________________________________________________ ________________________________________________________________________ (County official’s name and office where Deeds are recorded) ; and Whereas, there is now due and owing on the Note the amount of $____________, with interest accruing at the rate of _____% per annum, from ______________________ _________ (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. Extension of Maturity Date Lender hereby extends the time of payment of the principal indebtedness secured by the Note and Mortgage from the present maturity date of _______________________ _______ (date) to _______________________________ (date) , provided that Mortgagor shall continue to pay interest on the amount owing on the Note and Mortgage at the rate of ______% per annum, from _____________________________ ( date) , (e.g., monthly) ____________________________ on the first day of each month beginning __________________________________ (date) . 2. Principal and Interest Payments Mortgagor, in consideration of the above extension and other valuable consideration, the receipt of which is acknowledged, shall pay the principal sum and interest as set forth above on or before the maturity of the Note as extended by this Agreement, and shall comply with the other terms of the Note and Mortgage , except as modified in this Agreement. 3. Other Modifications of Note and Mortgage In addition to the above extension, the Note and Mortgage shall be further modified as follows: (Set forth any new terms, covenants, or conditions) ____________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ . If the terms and provisions contained in the Note and Mortgage in any way conflict with the terms and provisions contained in this Agreement, the terms and provisions of this Agreement shall prevail, and, as modified by this Agreement, the Note and Mortgage are ratified and confirmed. The failure or omission of either party to exercise, in one or more instances, any option given by this Agreement or in the Note or Mortgage shall not be construed as a waiver or relinquishment of a right to the option in the case of any other default, but the right to such further option shall remain in full force and effect. 4. This Agreement shall be governed by, construed, and enforced in accordance with the laws of the State of ____________________________. 5. Any notice provided for or concerning this Agreement shall be in writing and shall be deemed sufficiently given when sent by certified mail if sent to the respective address of each party as set forth at the beginning of this Agreement. WITNESS our signatures as of the day and date first above stated. ____________________________________ (Name of Lender) ___________________________________ By: ________________________________ (P rinted name) ____________________________________ (P rinted Name & Office in Corporation) ___________________________________ ____________________________________ (Signature of Mortgagor) (Signature of Officer) (Acknowledgments may vary by state) STATE OF ___________________________ COUNTY OF _________________________ Personally appeared before me, the undersigned authority in and for the said county and state, on this ____ day of __________________________, 20____, within my jurisdiction, the within named, __________________________________________ (Name of Mortgagor), who acknowledged that he executed the above and fore going instrument. ______________________________ NOTARY PUBLIC My Commission expires: ______________________ STATE OF ______________________________ COUNTY OF ____________________________ Personally appeared before me, the undersigned authority in and for the said county and state, on this ____ day of _________________________________, 20____, within my jurisdiction, the within named ______________________________________ (Name of Officer), who acknowledged that he is ________________________________ (Name of Office) of _______________________________________________ (Name of Corporation) , a _________________________________ (name of state) corporation, and that for and on behalf of the said corporation, and as its act and deed he executed the above and foregoing instrument, after first having been duly authorized by said corporation so to do. ______________________________ NOTARY PUBLIC My Commission expires: ______________________ Prepared By (and record and return to): Name of Attorney _______________________________________ State Bar Number ___________________ Post Office Box or Street Address ___________________________________________ ______________________ City, State, Zip Code _______________________________________________