Legal Application for Signature

LEGAL APPLICATION FOR SIGNATURE

This Legal Application for Signature (the "Application") is made effective as of by and between Applicant Name: Applicant Address: and Authorizing Party Name: Authorizing Party Address:

RECITALS

WHEREAS, Applicant seeks authority to affix a signature on certain documents and instruments on behalf of the Authorizing Party for the limited purposes set forth herein; and

WHEREAS, Authorizing Party is willing to consider granting limited signature authority to Applicant subject to the terms, conditions and safeguards contained in this Application; and

WHEREAS, the parties desire to record their agreement in writing so that third parties may rely upon the existence, scope and limitations of the authorized signature.

NOW, THEREFORE

In consideration of the mutual covenants and agreements set forth below, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:

1. DEFINITIONS

For purposes of this Application, the following terms shall have the meanings set forth below: "Authorized Documents" means the documents described in Section 2; "Authority" means the limited power to sign as set forth in Section 2; "Effective Date" means the date set forth above.

2. GRANT OF AUTHORITY

Subject to the terms and conditions of this Application, Authorizing Party hereby grants to Applicant the non-exclusive, limited Authority to sign the following documents on behalf of Authorizing Party:

The Authority is strictly limited to the actions and document types described above and does not extend to any other instrument, agreement, amendment, or financial transaction unless expressly agreed in writing by Authorizing Party.

3. SCOPE AND LIMITATIONS

Applicant shall exercise the Authority only within the scope expressly granted and only after satisfying any conditions precedent set forth herein. Applicant shall not bind Authorizing Party to any material obligation, admission of liability, or transfer of real property without prior written consent.

4. CONDITIONS PRECEDENT

The Authority shall become effective only upon satisfaction of the following conditions precedent: (a) execution of this Application by both parties; (b) delivery to Authorizing Party of any required identification or corporate authority documentation; and (c) confirmation in writing to Applicant that the Authority is accepted.

5. REPRESENTATIONS AND WARRANTIES

Each party represents and warrants that: (a) it is duly organized, validly existing and in good standing under the laws of its jurisdiction of formation; (b) it has full power and authority to enter into and perform this Application; and (c) the execution, delivery and performance of this Application have been duly authorized by all necessary action.

6. RECORDS AND AUDIT

Applicant shall maintain accurate records of each instance the Authority is exercised, including copies of signed documents and a log of dates, recipients and purposes. Authorizing Party shall have the right, upon reasonable notice and during normal business hours, to audit such records and request copies at Authorizing Party's expense.

7. INDEMNIFICATION

Applicant shall indemnify, defend and hold harmless Authorizing Party and its officers, directors and agents from and against any and all claims, losses, damages, liabilities, costs and expenses (including reasonable attorneys' fees) arising out of or resulting from Applicant's negligent or willful misuse of the Authority, except to the extent caused by Authorizing Party's gross negligence or willful misconduct.

8. TERM AND TERMINATION

The Authority shall commence on the Effective Date and continue until unless earlier revoked in writing by Authorizing Party. Termination or revocation shall not impair the validity of documents validly executed prior to receipt of written revocation by third parties acting in good faith.

9. NOTICES

All notices, demands or communications required or permitted under this Application shall be in writing and delivered to the addresses below by certified mail, nationally recognized overnight courier, or personal delivery effective upon receipt.

10. AMENDMENTS

This Application may be amended only by a written instrument executed by both parties. No oral modification shall be binding.

11. WAIVER

Failure to insist upon strict performance of any provision of this Application shall not constitute a waiver of any subsequent default or impair any right of the non-breaching party.

12. GOVERNING LAW

This Application shall be governed by and construed in accordance with the laws of the state or jurisdiction selected by the parties at the time of signature. Any dispute arising under this Application shall be resolved in the courts of that jurisdiction.

13. ENTIRE AGREEMENT

This Application constitutes the entire agreement between the parties relating to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations and understandings, whether written or oral.

14. SEVERABILITY

If any provision of this Application is held to be invalid or unenforceable, the remainder of this Application shall remain in full force and effect to the fullest extent permitted by law.

15. COUNTERPARTS

This Application may be executed in counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. Signatures transmitted by electronic means shall be effective as originals.

16. MISCELLANEOUS

The headings in this Application are for convenience only and shall not affect its interpretation. The parties acknowledge that they have had a full opportunity to seek independent legal advice with respect to this Application.

ENTITY TYPE DETAILS

Applicant Entity Type: Individual Corporation LLC Other:

Authorizing Party Entity Type: Individual Corporation LLC Other:

ACKNOWLEDGMENT

Each party acknowledges that it has read and understands this Application and that its signatory has the authority to bind the respective party.

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