September 30, 2021
Contact Name
Address
Address2
City, State/Province
Zip/Postal Code
OBJECT: ACKNOWLEDGMENT OF MODIFIED TERMS
Dear [Contact name],
As we discussed recently, it is of mutual interest that we make some modifications to a previous
agreement we both signed. Reference is made to the [contract or order] between
[COMPANY] and [COMPANY], dated [DATE].
This letter will acknowledge that the contract is modified and superseded by the following change
in terms:
[Describe changed terms]
Unless we hear from you within [NUMBER] of days to the contrary, we shall assume said revision is
mutually satisfying.
Sincerely,
[YOUR NAME]
[YOUR TITLE]
[YOUR PHONE NUMBER]