This Amendment to Agreement dated ____________________ 19____ between

herein called “Grantee,” organized and operating under (authorizing State Statute) and the United States of America acting through the Farmers Home Administration, Department of Agriculture, herein called “FmHA,” or its successor agency under Public Law 103-354 amends the Technical and Supervisory Assistance Grant Agreement” between the parties hereto dated ____________________ 19____, hereinafter called the “Agreement.”

Said Agreement is amended by changing the ending date specified in paragraph 2 of part B of the Agreement from __________________ to __________________ and/or by making the following changes noted in the attachments hereto: (List and identify proposal and any other documents pertinent to the grant which are attached to the Amendment.)

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 (Date)