Form FS-2400-9 AGREEMENT TO MODIFY CONTRACT

FS-2400-9 (7/10)

OMB No. 0596-XXX

Expiration (XX/XXXX)

United States Department of Agriculture Forest Service						Contract No.
						     
AGREEMENT TO MODIFY CONTRACT (Ref. 36 CFR 223.112)
1. It is mutually agreed that the above designated timber sale contract, signed by       of      ,       hereinafter called the purchaser and by <Name>, <Title> for the United States of America, as of the       day of       6/ as heretofore modified, be modified as follows:
     
Draw a diagonal line with pen and ink in unused portion of form.
2. Pursuant to this mutual agreement, the purchaser hereby agrees to cut and remove timber in strict accordance with all and singular the terms and provisions of the aforesaid contract as herein modified.
IN WITNESS WHEREOF, the parties hereto have executed this modification of contract as of the 1/ ____________ day of ___________________________, 20_____.
UNITED STATES OF AMERICA
By:					     
	(Signature of approving officer)				(Title)
Two witnesses: 2/
				     			}		3/ Purchaser
(Name of witness)
				     
(Address)
				     			}		Purchaser’s Business Address
(Name of witness)
				     
(Address)
I, 4/ __________________________________________, certify that I am the ___________________________________ Secretary of the corporation named as purchaser herein, that __________________________________________________ who signed this contract on behalf of the purchaser, was then __________________________________________________ of said corporation; that said contract was duly signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers.
								CORPORATE SEAL 5/
1/ The date approving Forest officer signs this form. 2/ The signature and addresses of two witnesses are required if sale is to other than a corporation. 3/ If contracting party is a co-partnership, the signatures should be: XYZ Company, by John Doe, a member of the firm. If contracting party is a corporation, form of signature should be: XYZ Company, by John Doe, President (or other officer or agent) and the seal of the corporation must be impressed or indicated. 4/ The certificate must be completed if the purchaser is a corporation. 5/ If the corporation has no corporate seal that fact shall be stated, in which case a scroll or adhesive seal shall follow the corporate name. 6/ Delete "as heretofore modified" if not applicable.

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