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Agreement To Pay Charge Of Service

The franchiser, ____________________, and the franchisee, ________, as set forth in their franchise agreement on __________ and as witnessed by ___________, have agreed to the following additional terms and conditions:

Franchisee agrees to pay _______________ at __________, the following percentage _________of gross sales to the franchiser for the following __________ amount of time to be paid). Payments shall commence ______________in increments of ________for a period of _____________. This agreement will be in effect from _______ until _______.

This does include _________________________ however, does not include ________.

Date: ________.

____________________________

Franchiser

____________________________

Franchisee

____________________________

Witness

____________________________

Witness