CMLS Client Consent Form

CMLS Client Consent Form

This Client Consent Form (the Agreement) is entered into as of Effective Date: by and between Client Name: , Client Address: , and CMLS Representative Name: on behalf of CMLS Company Name: .

RECITALS

WHEREAS, Client has requested that CMLS provide services and perform actions, and has provided certain personal, financial and other information to CMLS in connection with such services; and

WHEREAS, CMLS requires Client's express written consent to collect, use, disclose and retain Client information and to obtain certain third-party reports and verifications to provide the requested services; and

WHEREAS, the parties desire to set forth the terms under which Client grants those consents and authorizations.

NOW THEREFORE, in consideration of the mutual covenants contained herein and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:

1. DEFINITIONS

1.1 "Client" means the individual identified above. 1.2 "CMLS" means the entity identified above and its authorized agents, employees, contractors and affiliates. 1.3 "Confidential Information" means all non-public personal, financial, transactional, credit and other information relating to Client obtained by CMLS in connection with the services provided hereunder. 1.4 "Purpose" means the specific purpose(s) for which Client information may be collected, used or disclosed:

2. CONSENT TO COLLECTION, USE AND DISCLOSURE

2.1 Client hereby authorizes and consents to CMLS collecting, using, retaining and disclosing Client's Confidential Information as reasonably necessary to accomplish the Purpose and to perform CMLS's obligations. Client acknowledges that such uses and disclosures may include communication with third-party service providers, counterparties, credit reporting agencies, verifiers and governmental entities when required by law or necessary to provide services.

2.2 Client expressly consents to the following specific authorizations (select all that apply):

Obtain consumer credit reports, scores and related information necessary for underwriting, verification or evaluation.

Contact employers, payroll processors, banking institutions and other payors to verify employment, income and assets.

Share Client information with third-party service providers and counterparties where necessary to facilitate the Purpose.

3. AUTHORIZATION TO OBTAIN INFORMATION

3.1 Client authorizes any third party, including but not limited to financial institutions, employers, credit bureaus and governmental agencies, to release or disclose to CMLS such records and information as CMLS reasonably requests to verify Client representations and to accomplish the Purpose. This authorization is a continuing one and extends to prior and future information reasonably related to the Purpose.

3.2 Third parties to which Client information may be furnished include the following categories (insert specific entities if desired):

4. ELECTRONIC COMMUNICATIONS AND CONSENT

4.1 Client consents to receiving communications from CMLS by telephone (including automated calls), text message, email and other electronic means at the contact information provided below. Client acknowledges that standard message and data rates may apply.

5. DATA RETENTION; SECURITY

5.1 CMLS will retain Client information for the period reasonably necessary to fulfill the Purpose, to comply with legal or regulatory obligations, and to resolve disputes or enforce agreement terms. 5.2 CMLS shall maintain commercially reasonable administrative, technical and physical safeguards to protect Confidential Information from unauthorized access, disclosure or loss, consistent with applicable law.

6. REPRESENTATIONS AND WARRANTIES

Client represents and warrants that all information provided to CMLS is true, complete and accurate to the best of Client's knowledge and that Client has the full right and authority to grant the consents and authorizations set forth in this Agreement. Client agrees to notify CMLS promptly of any material change in such information.

7. INDEMNIFICATION; LIMITATION OF LIABILITY

7.1 To the fullest extent permitted by law, Client agrees to indemnify, defend and hold harmless CMLS and its agents, contractors and employees from and against any and all losses, liabilities, damages, claims, costs and expenses (including reasonable attorneys' fees) arising out of Client's breach of representation or warranty, or Client's misuse of the services. 7.2 EXCEPT FOR LIABILITY ARISING FROM GROSS NEGLIGENCE OR WILLFUL MISCONDUCT, IN NO EVENT SHALL CMLS BE LIABLE FOR SPECIAL, INDIRECT, INCIDENTAL, CONSEQUENTIAL OR PUNITIVE DAMAGES ARISING FROM THE COLLECTION, USE OR DISCLOSURE OF CLIENT INFORMATION.

8. TERM AND TERMINATION

This Agreement becomes effective on the Effective Date set forth above and remains in effect until the Purpose has been fulfilled or until terminated in writing by either party. Termination will not affect obligations accrued prior to termination or CMLS's right to retain certain records as required by law.

9. NOTICES

Notices under this Agreement shall be delivered in writing to the addresses below. Notice is effective upon receipt when delivered in person, by nationally recognized overnight courier, or by confirmed electronic transmission.

10. AMENDMENTS; COUNTERPARTS; WAIVER

10.1 This Agreement may be amended only by a written instrument signed by both parties. 10.2 This Agreement may be executed in counterparts, each of which shall be deemed an original, and all of which together shall constitute one instrument. 10.3 No waiver of any breach or provision shall be effective unless in writing and signed by the waiving party.

11. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

11.1 This Agreement shall be governed by and construed in accordance with the laws of the jurisdiction specified by CMLS below without regard to conflict of law principles. The parties submit to the exclusive jurisdiction of the courts located within that jurisdiction for resolution of disputes. 11.2 This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements and understandings, oral or written. 11.3 If any provision of this Agreement is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

12. MISCELLANEOUS

12.1 Severability, headings and interpretation: Headings are for convenience only and do not affect interpretation. The parties acknowledge that they have had the opportunity to seek independent advice and that the terms hereof are the product of mutual negotiation.

ACKNOWLEDGMENT

By signing below, Client acknowledges that Client has read and understood this Agreement, that Client's execution constitutes a legal, valid and binding obligation, and that Client consents to the collection, use and disclosure of Client information as set forth herein.

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