This Amendment to Agreement dated __________ 19__ between

(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)

         (Signature)

         (Title)

United States of America

         (Signature)

         (Title)

Farmers Home Administration or its successor agency under Public Law 103-354

         (Date)