Legal Declaration Renewal Form

LEGAL DECLARATION RENEWAL FORM

This Legal Declaration Renewal Form is made on this between Declarant Name: (Entity Type: Individual Corporation Other ), Address: and Recipient Name: , Address: .

RECITALS

WHEREAS, Declarant executed a prior written declaration entitled "Declaration" dated , identified as Document Reference: (the "Original Declaration");

WHEREAS, Declarant wishes to renew, restate and reaffirm the Original Declaration in accordance with the terms set forth herein and to disclose any material changes in circumstances since the date of the Original Declaration; and

WHEREAS, Recipient is authorized or otherwise entitled to rely upon the Original Declaration and any renewal or reaffirmation executed by Declarant.

NOW THEREFORE, in consideration of the mutual covenants contained herein, the parties agree as follows:

1. RENEWAL AND RESTATEMENT

1.1 Renewal. Declarant hereby renews, restates and reaffirms the Original Declaration as of the Renewal Effective Date: . Except as expressly modified by this Renewal, all terms, statements, representations, and disclosures contained in the Original Declaration shall continue in full force and effect.

1.2 Scope. This Renewal applies solely to the matters expressed in the Original Declaration and to any subsequent disclosures expressly incorporated herein. This document does not create additional obligations beyond those set forth in the Original Declaration except as expressly stated.

2. REPRESENTATIONS AND WARRANTIES

Declarant represents and warrants to Recipient that, as of the Renewal Effective Date:

(a) Declarant is duly authorized to execute and deliver this Renewal and to perform its obligations hereunder; and

(b) All factual statements contained in the Original Declaration and any supplemental disclosures delivered in connection with this Renewal are true and accurate in all material respects, and no material fact has been omitted that would render such statements misleading; except for the changes disclosed in Section 3.

3. MATERIAL CHANGES AND SUPPLEMENTAL DISCLOSURES

Declarant shall disclose all material changes in circumstance, fact, or status since the Original Declaration. Provide a concise description of any such material changes below:

4. CONTINUING EFFECT; LIMITATIONS

4.1 Continuing Effect. Except as expressly modified herein, the Original Declaration and all representations therein are hereby ratified and remain in effect for the period specified in the Original Declaration or until otherwise terminated by mutual written agreement.

4.2 Limitations. This Renewal does not constitute an admission of liability by any party. No amendment to rights or obligations under the Original Declaration shall be effective unless made in writing and signed by both parties in accordance with Section 8 (Amendment).

5. RELIANCE; REMEDIES

Recipient may rely upon the renewed statements and disclosures set forth in this Renewal. In the event of any material misrepresentation or omission, Recipient shall be entitled to seek all remedies available at law or in equity, including rescission, damages, and injunctive relief.

6. NOTICES

All notices, requests, demands and other communications under this Renewal shall be in writing and delivered to the parties at the addresses set forth below or to such other address as a party may specify by notice in accordance with this Section.

7. AMENDMENT; WAIVER

No amendment, modification or waiver of any provision of this Renewal shall be effective unless made in writing and signed by both parties. No failure or delay by any party in exercising any right under this Renewal shall operate as a waiver of that right.

8. GOVERNING LAW; VENUE

This Renewal shall be governed by and construed in accordance with the laws of the state or jurisdiction elected by the parties. The parties submit to the exclusive jurisdiction of the competent courts located in the chosen jurisdiction for any dispute arising out of or relating to this Renewal.

9. ENTIRE AGREEMENT; SEVERABILITY

This Renewal, together with the Original Declaration and any exhibits or attachments expressly incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter hereof. If any provision of this Renewal is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

10. COUNTERPARTS; ELECTRONIC SIGNATURES

This Renewal may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument. Facsimile, electronic PDF or other electronic signatures shall be deemed effective for all purposes.

11. ATTESTATION; PENALTIES

Declarant hereby declares under penalty of perjury and applicable law that the statements contained in the Original Declaration and this Renewal are true and correct to the best of Declarant's knowledge, information and belief. Declarant acknowledges that intentional false statements may subject Declarant to civil and criminal penalties under applicable law.

By signing below, each signatory affirms that they are authorized to execute this Renewal on behalf of the party for which they sign and that they have read, understand, and accept the terms and conditions contained herein.

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