Business Statement Document

BUSINESS STATEMENT DOCUMENT

Parties and Identifying Information

Sole Proprietor    LLC    Corporation    Partnership    Other

Recitals

WHEREAS, Declarant conducts business activities and provides services or products described herein and desires to disclose certain facts and statements to Recipient for the purposes set forth below; and

WHEREAS, Recipient requires a formal written statement from Declarant verifying the facts, scope of services, and payment and term provisions that will govern the relationship between the parties; and

WHEREAS, the parties intend that this Business Statement Document set forth the material terms, representations, and remedies applicable to the subject matter.

Statement of Business Facts

Scope of Work

Payment Terms

The Recipient shall pay Declarant the compensation set forth below in exchange for the services and statements provided. All amounts are in lawful currency unless otherwise specified.

Any payment not received within following the due date shall bear interest at a rate of and a one-time administrative late fee of . Such remedies are cumulative and do not preclude the pursuit of additional legal remedies for collection.

Term and Termination

This Business Statement Document shall be effective as of (the Effective Date) and shall continue in effect until unless earlier terminated in accordance with this section.

Either party may terminate this Document for material breach by the other party upon providing written notice and a cure period of days to remedy the breach. Termination does not relieve either party of obligations accrued prior to the effective date of termination.

Confidentiality

Each party agrees that all non-public information disclosed by one party to the other in connection with this Document that is designated confidential or that reasonably should be understood to be confidential given the nature and circumstances of disclosure shall be held in strict confidence and used solely for the purposes contemplated by this Document. Confidential information does not include information that: (a) is or becomes generally available to the public through no act or omission of the receiving party; (b) was known to the receiving party prior to disclosure without breach of any obligation; (c) is rightfully received from a third party without restriction; or (d) is independently developed by the receiving party without use of or reference to confidential information of the disclosing party.

A party may disclose confidential information to the extent compelled by law provided that it gives the disclosing party prompt written notice and, at the disclosing party's expense, cooperates in seeking a protective order or other appropriate remedy to protect the confidentiality of such information.

Representations and Warranties

Declarant represents and warrants that (a) it is duly organized and in good standing under applicable law; (b) it has the full corporate or organizational power and authority to execute and deliver this Document and to perform its obligations hereunder; and (c) the statements, facts, and materials provided in the Business Statement are true, accurate, and complete to the best of Declarant's knowledge as of the Effective Date.

Governing Law

This Document shall be governed by and construed in accordance with the laws of the State of , without regard to its conflicts of law principles. The parties submit to the exclusive jurisdiction of the state and federal courts located within that state for any dispute arising out of or relating to this Document.

Entire Agreement; Amendment

This Document constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, proposals, negotiations, and communications, whether oral or written. No amendment or modification of this Document shall be binding unless in writing and executed by authorized representatives of both parties.

Attachments and Exhibits

Certification

The undersigned, on behalf of the party identified above, certifies under penalty of perjury that the facts and statements contained in this Business Statement Document and any attachments are true, complete, and accurate to the best of the undersigned's knowledge and that the undersigned is authorized to execute this Document on behalf of the named party.

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