This Agreement dated, ________________________ 19____

between a nonprofit corporation (“Grantee”), organized and operating under (authorizing State Statute) and the United States of America acting through the Farmers Home Administration, Department of Agriculture (“FmHA”) or its successor agency under Public Law 103-354, amends the “Self-Help Technical Assistance Grant Agreement” between the parties dated __________________ 19____, (“Agreement”).

The Agreement is amended by providing additional financial assistance in the amount of ________ to be made available by FmHA or its successor agency under Public Law 103-354 to Grantee pursuant to section 523 of Title V of the Housing Act of 1949 for the purpose of assisting in providing a program of technical and supervisory assistance which will aid low-income families in carrying out mutual self-help housing efforts; or

The Agreement is amended by changing the completion date specified in convenant 1 from ________ to ________ and by making the following attachments to this amendment: (List and identify proposal and any other documents pertinent to the grant.)

Agreed to this __________ day of ____________ 19____.

(Name of Grantee) By (Signature) (Title) United States of America By (Signature) (Title) Farmers Home Administration or its successor agency under Public Law 103-354