Address Verification Document

ADDRESS VERIFICATION AGREEMENT

PARTIES

Client Name:

Verification Provider Name:

RECITALS

WHEREAS, Client seeks independent verification of the occupancy and mailing status of a specific residential or business address for legitimate business purposes, including but not limited to due diligence, compliance, and record maintenance; and

WHEREAS, Verification Provider represents that it possesses the personnel, methods, and authority necessary to perform an investigatory verification of the address set forth below and to provide a written verification report in accordance with the terms of this Agreement; and

WHEREAS, the parties desire to set forth their respective obligations, fees, and the scope of verification services in a written agreement.

SUBJECT ADDRESS

SCOPE OF WORK

Verification Provider shall perform one or more of the following verification activities as indicated and described below and shall prepare and deliver to Client a written Verification Report containing findings and supporting documentation:

Site visit with photographic evidence
Mail delivery probe
Public records or database cross-check
Telephonic contact with occupant or occupant's agent
Notarized affidavit from occupant or agent

DOCUMENTS REVIEWED

VERIFICATION FINDINGS

Result of Verification (select one):
Verified — evidence supports occupancy/mailing at the subject address
Not Verified — insufficient or contradictory evidence

PAYMENT TERMS

Fee Amount: $

Payment Schedule:

Late Payment: A late charge of on any unpaid balance shall accrue monthly from the due date until paid in full.

TERM AND TERMINATION

Term Commencement Date:

Term Expiration Date:

Termination for Convenience: Either party may terminate this Agreement upon days' prior written notice. Termination shall not relieve Client of the obligation to pay for services performed through the effective date of termination.

CONFIDENTIALITY

Each party shall maintain in strict confidence all non-public information and materials obtained from the other party in connection with the performance of this Agreement ("Confidential Information"). Confidential Information does not include information that is or becomes publicly known through no breach of this Agreement or is rightfully received from a third party without restriction. The receiving party shall use Confidential Information solely for the purposes of performing its obligations under this Agreement and shall not disclose such information to any third party except as required by law or with the disclosing party's prior written consent.

REPRESENTATIONS, WARRANTIES, AND INDEMNITY

Client represents that the information supplied to Verification Provider regarding the subject address is true and accurate to the best of Client's knowledge. Client shall indemnify and hold harmless Verification Provider from any claims, losses, or liabilities arising out of Client's misrepresentation of material facts or instructions that materially deviate from the facts known to Client.

GOVERNING LAW; ENTIRE AGREEMENT

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to principles of conflicts of law. This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations, and understandings, whether written or oral.

MISCELLANEOUS PROVISIONS

Notices required under this Agreement shall be given in writing and delivered to the addresses below. Any amendment to this Agreement must be in writing and signed by authorized representatives of both parties. Neither party may assign this Agreement without the prior written consent of the other party, except that Verification Provider may subcontract performance of verification tasks while remaining responsible for compliance with this Agreement.

CERTIFICATION

The undersigned certify under penalty of perjury that the information set forth in this Agreement and the attached Verification Report (if any) is true, correct, and complete to the best of their knowledge and that the Verification Provider performed the services described herein in a commercially reasonable manner consistent with prevailing industry standards.

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