Repayment schedule amendment agreement

Concluded on [date] in [place] between:

Creditor

[Full details of the creditor]

Debtor

[Full details of the debtor]

1 Agreement being amended

The parties agree to amend the repayment schedule under agreement no. [number] dated [date] to the extent set out below.

2 Balance and costs

The parties agree the balance as at [date]: principal [amount] PLN, interest [amount] PLN and other amounts with their basis stated [description and amounts]. The total covered by the schedule is [amount] PLN. The costs of the amendment are [amount or none] and arise from [basis].

3 New repayment schedule

Instalment

Amount

Due date

1

[amount] PLN

[date]

2

[amount] PLN

[date]

Further instalments

[enter amounts]

[enter due dates]

[Complete the full schedule of all agreed instalments.]

Total instalments: [amount] PLN. Repayment account: [number].

4 Scope of the amendment

This amendment changes only the terms expressly stated in it. The remaining terms of the agreement continue to apply to the extent consistent with the applicable law. The changes take effect on [date].

5 Copies

This amendment has been prepared in two identical copies, one for each party.

[Legible signature]
Creditor

[Legible signature]
Debtor



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