Financial Information Document

FINANCIAL INFORMATION DOCUMENT

This Financial Information Document (the Agreement) is made and entered into effective as of Effective Date: by and between Client Name: (Client) and Financial Provider Name: (Provider).

RECITALS

WHEREAS, Client requires the provision, verification and limited disclosure of certain financial information to evaluate credit, financing, or business terms and to fulfill contractual obligations; and

WHEREAS, Provider is willing to collect, compile and disclose such financial information under the terms and conditions set forth in this Agreement, subject to the confidentiality and data-protection provisions below; and

WHEREAS, the parties intend this Agreement to govern the scope, use, retention, and disclosure of the financial information identified herein.

SCOPE OF WORK

REQUESTED FINANCIAL DOCUMENTS

The following documents are to be provided, unless otherwise struck through or supplemented in the Scope of Work:

Balance sheet

Income statement (profit & loss)

Cash flow statement

Federal/state tax returns

Bank statements (specified accounts)

PAYMENT TERMS

As consideration for the collection, compilation and delivery of the financial information described herein, Client agrees to pay Provider the fees and follow the schedule set forth below. All monetary amounts are in U.S. dollars unless otherwise stated.

All payments not made when due shall accrue interest at the lesser of the stated late fee above or the maximum rate permitted by applicable law. Provider may suspend delivery of any further materials or services if payment is overdue by more than days after written notice.

TERM AND TERMINATION

This Agreement commences on Start Date: and continues until End Date: , unless earlier terminated in accordance with this section.

Either party may terminate for convenience upon written notice delivered not less than days prior to the intended termination date. Either party may terminate immediately for material breach that remains uncured for days after receipt of written notice specifying the breach.

Upon termination, Provider shall deliver all completed materials and Client shall pay for all services performed through the effective date of termination, including reasonable costs of wind-down.

CONFIDENTIALITY

For purposes of this Agreement, Confidential Information means non-public financial data, reports, schedules, account numbers, tax filings, and any other information disclosed by Client to Provider or generated by Provider in connection with the Scope of Work. Provider shall: (a) maintain Confidential Information in strict confidence using safeguards no less protective than those used to protect its own confidential materials; (b) use Confidential Information solely for the purposes set forth in this Agreement; and (c) not disclose Confidential Information to any third party except to those employees, agents, affiliates or subcontractors who have a need to know and who are bound by written confidentiality obligations at least as restrictive as this clause.

Confidential Information does not include information that: (i) is or becomes publicly available through no fault of the receiving party; (ii) was already lawfully known to the receiving party prior to disclosure; (iii) is rightfully received from a third party without breach of an obligation of confidentiality; or (iv) is independently developed by the receiving party without use of Confidential Information.

Upon written request or at termination, the receiving party shall, at the disclosing party’s election, return or destroy Confidential Information and certify in writing that such return or destruction has been completed, except to the extent retention is required by law, regulation, or professional recordkeeping obligations.

REPRESENTATIONS, WARRANTIES AND CERTIFICATION

Client represents and warrants that it has the authority to disclose the requested financial information and that the information provided to Provider will be true, complete and accurate to the best of Client’s knowledge. Provider represents that it will perform the services in a professional manner consistent with industry standards.

Client hereby certifies that the financial information provided to Provider is accurate and complete and authorizes Provider to collect, verify and disclose such information solely as set forth in this Agreement for the identified purposes.

I certify that the financial information supplied is true and that I am authorized to provide it to the Provider.

GOVERNING LAW; ENTIRE AGREEMENT

This Agreement shall be governed by and construed in accordance with the laws of the state of , without regard to its choice-of-law principles.

This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, proposals and communications, whether written or oral. Any amendment or modification must be in writing and signed by authorized representatives of both parties.

LIMITATION OF LIABILITY

Except for willful misconduct or gross negligence, neither party shall be liable to the other for special, incidental, consequential or punitive damages arising out of or relating to this Agreement. The aggregate liability of either party for any claim arising under this Agreement shall not exceed the total fees paid by Client to Provider under this Agreement in the twelve (12) months preceding the claim.

MISCELLANEOUS

Notices under this Agreement shall be in writing and delivered to the addresses below. If any provision of this Agreement is held unenforceable, the remaining provisions will remain in full force and effect.

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