Business Verification Verified Answers

Business Verification Verified Answers

Parties and Identification

Date of Verification:

Recitals

WHEREAS, Verifier Name: has been engaged to confirm factual business information provided by the Business identified above; and

WHEREAS, the Business has requested a written record of the verified answers and the Verifier has conducted the reasonable inquiries described below and is prepared to set forth the results and certifications contained in this document;

NOW, THEREFORE, the parties acknowledge and agree that the facts and responses recorded in this instrument constitute the verified answers as of the Verification Date and are subject to the terms set forth herein.

Scope of Verification

Verified Answers

Instructions: For each item, indicate Yes or No and provide brief explanatory detail or corrective notes where applicable.

1. Legal Business Name — Verified: Yes No Details:

2. Principal Ownership and Officers — Verified: Yes No Details:

3. Business Address on Record — Verified: Yes No Details:

4. Business Activity / NAICS Description — Verified: Yes No Details:

5. Registration / Good Standing Status — Verified: Yes No Details:

Payment Terms

Compensation Amount:

Payment Due within days of invoice. Late fee: % per month (or lesser amount permitted by law)

Term and Termination

Term Commencement Date:

Term Expiration Date:

Termination Notice Period: days written notice. Either party may terminate for material breach if such breach is not remedied within days following written notice.

Confidentiality

All non-public information exchanged in connection with this verification, including the answers, supporting documents and observations, shall be treated as Confidential Information. The receiving party shall not disclose Confidential Information except (i) with prior written consent, (ii) to its employees or advisors with a need to know subject to confidentiality obligations, or (iii) as required by law, provided the disclosing party is notified to permit protective measures.

Confidentiality shall survive termination for a period of years, except that trade secrets shall remain protected for as long as they qualify as trade secrets under applicable law.

Acknowledgement of Confidentiality: I acknowledge and agree to the confidentiality obligations above.

Governing Law

This instrument shall be governed by and construed in accordance with the laws of the State of , without regard to conflict of law principles.

Entire Agreement and Reliance

This document, together with any attachments executed contemporaneously, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior representations, understandings and agreements, whether written or oral. No amendment shall be effective unless in writing and signed by both parties.

Certification

The Verifier certifies that, to the best of its knowledge after performing the verification procedures described in the Scope of Verification, the answers reflected in this document are accurate and complete as of the Verification Date. The Verifier makes no other warranties, express or implied, beyond this certification.

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