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Termination Procedures

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:

Upon termination of contractual agreement the franchisee will perform the following:

A. Stop conducting business immediately at

B. Stop the use of the following trademarks or logos:

1._______________________

2. ______________________

3. ______________________

4._______________________

C. Telephone numbers for the franchisee must be transferred to the franchiser or to ______________, or canceled immediately.

D. All the following materials must be returned to franchiser immediately:

E. Any and all contracts relative to franchise must be provided to the franchiser immediately.

If the franchisee does not comply with terms and conditions of termination immediately ( he or she ) will allow the power of attorney to execute all necessary acts to complete termination process.

Date: ________.

____________________________

Franchiser

____________________________

Franchisee

____________________________

Witness

____________________________

Witness