FDD Payment Receipt

FDD PAYMENT RECEIPT

Receipt No.:    Date of Receipt:

Parties

Client Name:

Provider Name:

Recitals

WHEREAS, Client Name: sought to obtain the Franchise Disclosure Document ("FDD") from Provider Name: for evaluation of a potential franchise relationship; and

WHEREAS, Provider represents that it is authorized to furnish the FDD and related materials and that Client has agreed to pay the fees described below in exchange for receipt of those materials; and

NOW, THEREFORE, Provider acknowledges receipt of payment from Client in accordance with the terms set forth in this FDD Payment Receipt and the accompanying agreement provisions below.

Receipt Details

Invoice / Reference No.:

Scope of Work

The Provider's obligations under this receipt include delivery of the FDD and any accompanying documents, written statements, exhibits, and necessary disclosure materials as required for Client's pre-qualification review. The parties confirm the scope as described below:

Payment Terms

Total Amount Received: $

Check   Wire Transfer   Credit Card   ACH   Cash

Late Payment Fee:

Term and Termination

Effective Date:    Termination Date (if applicable):

Either party may terminate this receipt and any related obligations upon written notice to the other party if material breach is not cured within days after receipt of such written notice. Notwithstanding termination, Provider's obligation to maintain confidentiality and Client's obligation to pay amounts already due survive termination.

Confidentiality

The parties acknowledge that the FDD and related materials include confidential and proprietary information. Each party agrees not to use or disclose such confidential information except as required by law or as necessary to evaluate or effectuate the transaction contemplated by the FDD. The receiving party will take commercially reasonable measures to safeguard confidential information and will not disclose it to third parties without prior written consent of the disclosing party. This obligation shall remain in force for a period of two (2) years from the Effective Date or as otherwise required by applicable franchise disclosure laws.

Confidentiality Acknowledgement: Client acknowledges receipt and agrees to the confidentiality terms above.

Governing Law

This receipt and any disputes arising out of or related to it shall be governed by and construed in accordance with the laws of the State of without regard to principles of conflict of laws.

Entire Agreement

This Payment Receipt, together with any written schedules, exhibits and any separate written agreement expressly incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, proposals, representations and understandings, whether written or oral. No amendment shall be effective unless executed in writing by both parties.

Acknowledgment of Receipt

Provider hereby certifies that it received the payment described herein from Client and that such payment covers the delivery of the FDD and associated materials as set forth above. Provider further certifies that all amounts due and payable as of the Receipt Date for the described materials have been received unless otherwise noted in the Payment Schedule.

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