Finance Updated Docs

Finance Updated Docs

This form transmits and certifies updates to financial, tax, and payment records maintained by the Recipient for the Client. Client Name: Company Name:

Entity and Tax Information

Entity Type: Sole Proprietorship Partnership Corporation LLC Trust Other

Contact and Address

Banking and Payment Instructions

Account Type: Checking Savings Other

ACH Wire Check Card

Effective Date for these updates:

Checklist of Delivered Documents

Please indicate which updated documents accompany this submission:

Completed IRS Form W-9 Bank letter or bank confirmation Voided check Updated invoice template Authorization letter for ACH or wire Other (see details)

Certifications and Authorization

By submitting this form and signing below, the undersigned certifies, represents, and warrants that the information provided herein is true, complete and accurate to the best of their knowledge and that they are authorized to provide the updated documents on behalf of the Client. The Client authorizes the Recipient to rely upon and implement the updated payment instructions and to update the Recipient's records accordingly.

The Client agrees to indemnify and hold harmless the Recipient, its officers, employees and agents from and against any claims, losses, damages, liabilities and expenses (including reasonable attorneys' fees) arising from inaccurate or fraudulent information provided on this form or from a failure to timely notify the Recipient of subsequent changes. The Recipient's liability for any loss related to the use of these updates shall be limited to direct damages proven and shall not include consequential, incidental, punitive or special damages.

The Client acknowledges that the Recipient may require verification of banking or tax information and may delay implementing changes until satisfactory verification is obtained. The Client agrees to cooperate with any reasonable verification procedures. The Client further consents to electronic communications and, where applicable, electronic signature of this form.

This certification is effective as of the Effective Date identified above and will remain in effect until superseded by a later written notice. This form shall be governed by the laws of the jurisdiction specified in the Client's primary agreement with the Recipient, without regard to conflict-of-law principles.

Acknowledgment

I affirm under penalty of perjury that the information provided on this Finance Updated Docs form is accurate and that I have authority to bind the Client to the certifications and authorizations contained herein.

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