Financial Vendor Instructions

FINANCIAL VENDOR INSTRUCTIONS

Vendor Identification

Remittance and Payment Methods

Preferred payment methods (select all that apply): ACH / Direct Deposit Wire Transfer Check Corporate Card / Virtual Card

Remittance Address (if checks are used):

Bank Account — ACH (Direct Deposit)

Bank Name:

I will attach a voided check or bank letter to verify account ownership: Voided check Bank letter

Wire Transfer Instructions

Foreign currency and correspondent bank instructions must be provided where applicable.

Invoicing and Payment Terms

Payment terms: Net days from invoice receipt unless otherwise agreed in writing. Invoice must include vendor legal name, invoice number, invoice date (MM/DD/YYYY), purchase order number where applicable, remit-to details, and itemized charges.

Late payment policy: Late invoices will incur interest at a rate of on balances past due, where permitted by law. Payment may be withheld if invoicing or remittance information is incomplete or unverified.

Tax Withholding and Compliance

Vendor certifies that it is not subject to backup withholding and that all tax information provided herein is true, correct and complete. If the payer is required by applicable law to withhold taxes, the payer will do so and remit withheld amounts to the appropriate authority; vendor will be notified and provided documentation of withholding.

Representations, Authorization and Liability

By executing this form, Vendor represents and warrants that it is authorized to provide the bank and payment information above and to accept payment to the designated account. Vendor authorizes the payer and its bank to initiate payments in accordance with these instructions. Vendor agrees to indemnify and hold the payer harmless from any claims, losses, or liabilities arising from inaccurate payment information or unauthorized instructions provided by Vendor.

Vendor acknowledges that the payer may, at its discretion, require additional verification (including but not limited to bank letters, notarized documents, or sample deposit) prior to initiating electronic payment transfers. The payer is not liable for delays resulting from Vendor's failure to provide acceptable verification.

Changes, Revocation and Notice

Vendor must notify the payer in writing of any change to these instructions at least five (5) business days prior to the date the change is to take effect. Changes are not effective until acknowledged in writing by the payer. Vendor remains liable for payments made to the account on file until a new instruction has been accepted and confirmed by the payer.

Confidentiality and Data Security

Vendor agrees to maintain the confidentiality of payer banking and payment information and to implement and maintain commercially reasonable security measures to protect such information. Vendor will promptly report any actual or suspected unauthorized access or disclosure of payment data.

Additional Instructions / Notes

Acknowledgement and Signature

The undersigned certifies under penalty of perjury that the information provided herein is true and accurate, that they are authorized to execute this document on behalf of Vendor, and that Vendor will promptly notify the payer of any changes. Vendor agrees that electronic or facsimile signatures shall have the same force and effect as original signatures.

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