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Legal Disclosure Certification

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LEGAL DISCLOSURE CERTIFICATION

This Legal Disclosure Certification (the Certification) is executed as of Effective Date: by and between Disclosing Party: with principal address (Disclosing Party), and Recipient: with principal address (Recipient).

RECITALS

WHEREAS, Recipient requires disclosure of certain relationships, interests and material facts from Disclosing Party in connection with Recipient's consideration of a business relationship, engagement, contract, or transaction (the Transaction); and

WHEREAS, Disclosing Party has information regarding past, present or contingent relationships, financial interests, obligations, or other material facts that may reasonably be considered relevant to Recipient's evaluation of the Transaction; and

WHEREAS, the parties desire to set forth in writing the disclosures made by Disclosing Party and the obligations of both parties with respect thereto.

NOW, THEREFORE, in consideration of the mutual covenants and agreements set forth below, the parties agree as follows:

1. DEFINITIONS

For purposes of this Certification, the following terms shall have the meanings specified:

(a) "Disclosure" means any material fact, relationship, transaction, financial interest, claim, lien, obligation, litigation, or other information that could reasonably be expected to influence Recipient's decision-making with respect to the Transaction.

(b) "Material Fact" means a fact that a reasonable person would consider important in deciding whether to enter into, modify, or continue a contractual or business relationship.

2. CERTIFICATION OF DISCLOSURES

Disclosing Party hereby certifies that, to the best of Disclosing Party's knowledge after reasonable inquiry, the disclosures set forth in this Certification are true, complete, and correct as of the Effective Date and include any material facts or interests required to be disclosed.

Indicate whether there are no disclosures to report:

3. CONTINUING DUTY TO DISCLOSE

Disclosing Party represents and warrants that Disclosing Party has and will continue to exercise a duty to disclose any additional Material Facts that come into existence or to Disclosing Party's attention after the Effective Date and prior to the later of (a) the execution of a definitive agreement between the parties, or (b) the termination of discussions related to the Transaction. Any supplemental disclosure shall be made in writing and delivered in accordance with the Notices provision of this Certification.

4. CONFIDENTIALITY AND USE OF DISCLOSED INFORMATION

All information provided pursuant to this Certification, whether marked confidential or not, shall be treated as Confidential Information of the Disclosing Party to the extent it constitutes or derives from a Disclosure. Recipient shall use such information solely for the purpose of evaluating the Transaction and shall not disclose it to any third party except to advisors or affiliates bound by confidentiality obligations at least as protective as those herein. Nothing in this paragraph restricts Recipient from using or disclosing information that (i) is or becomes generally available to the public without breach of this Certification, (ii) was already known to Recipient prior to disclosure as shown by Recipient's written records, or (iii) is required to be disclosed by applicable law or valid judicial or governmental process, provided Recipient gives Disclosing Party prompt written notice and cooperates in seeking an appropriate protective order or other remedy.

5. REPRESENTATIONS AND WARRANTIES

Disclosing Party represents and warrants that: (a) it has full power and authority to make the disclosures herein; (b) the disclosures are true and complete to the best of Disclosing Party's knowledge after reasonable inquiry; and (c) making these disclosures does not violate any agreement, law, or fiduciary duty binding Disclosing Party. Recipient represents and warrants that it will rely on this Certification only to the extent permitted under any applicable engagement or confidentiality agreement between the parties.

6. INDEMNIFICATION

Disclosing Party shall indemnify, defend and hold harmless Recipient and its officers, directors, employees and agents from and against any and all losses, liabilities, damages, costs and expenses (including reasonable attorneys' fees) arising out of or resulting from any willful misrepresentation, material omission, or breach of the representations and warranties contained in this Certification. Recipient shall provide Disclosing Party with prompt written notice of any claim for which indemnity is sought and shall cooperate in the defense of such claim.

7. REMEDIES

The remedies provided in this Certification are cumulative and in addition to any other remedies available at law or in equity, including injunctive relief and specific performance, without the requirement to post a bond.

8. NOTICES

Any notice, demand or communication required or permitted hereunder shall be in writing and shall be delivered personally, by certified mail (return receipt requested), or by recognized overnight courier service to the addresses below or to such other address as either party may designate by notice:

9. GOVERNING LAW

This Certification shall be governed by and construed in accordance with the laws of the State of without regard to its conflict of laws provisions.

10. ENTIRE AGREEMENT

This Certification constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior oral and written negotiations, understandings and agreements relating to the subject matter.

11. SEVERABILITY

If any provision of this Certification is held invalid or unenforceable, the remaining provisions shall remain in full force and effect.

12. AMENDMENTS; WAIVER; COUNTERPARTS

No amendment or waiver of any provision of this Certification shall be effective unless in a written instrument signed by both parties. Failure to enforce any provision shall not constitute a waiver of that provision. This Certification may be executed in counterparts and by electronic signature, each of which shall be deemed an original but all of which together shall constitute one and the same instrument.

13. CERTIFICATION AND SIGNATURE

The undersigned certify, under penalty of perjury, that they are authorized to execute this Certification on behalf of the party they represent and that the disclosures made herein are true, correct and complete to the best of their knowledge as of the Effective Date.

Disclosing Party - Print Name:

By:

Date:

Recipient - Print Name:

By:

Date:

Enter text✕

What a Legal Disclosure Certification Is and when it’s used

A Legal Disclosure Certification is a signed statement in which an individual or organization affirms specific facts, disclosures, or compliance-related information required for a transaction, regulatory filing, contract, or closing. It typically identifies the parties, lists material facts or exceptions, and includes an attestation that the information is accurate under penalty of law. In the United States electronic execution is generally valid under the ESIGN Act (15 U.S.C. ch. 96) and UETA (where adopted); many organizations use an eSignature platform such as signNow to capture signatures, timestamps, and an audit trail consistent with those laws.

Why use a formal Legal Disclosure Certification

A properly completed certification creates clear, attributable evidence of disclosure, reduces dispute risk, supports regulatory compliance, and documents who attested to what and when. It also preserves an auditable record suitable for enforcement or review under ESIGN, UETA, or sector-specific rules.

Why use a formal Legal Disclosure Certification

Who typically prepares and signs these certifications

The Legal Disclosure Certification is used by parties who must make formal attestations — legal counsel, compliance officers, contracting parties, and regulated professionals.

  • Legal and compliance teams: draft the language, confirm legal sufficiency, and retain final signed copies for audits.
  • Real estate and finance professionals: disclose material property or financial conditions required by state law or lenders.
  • Healthcare and HR administrators: certify required privacy or benefit disclosures under HIPAA or employment policies.

Signers typically include authorized officers, named individuals with delegated authority, or other persons described in the document’s signature block.

Step-by-step: completing the Legal Disclosure Certification

Follow these basic steps to prepare, verify, and finalize a legally reliable certification.

  • 01
    Gather documents: Collect supporting documents and IDs before drafting.
  • 02
    Draft disclosures: List each material fact clearly and reference exhibits.
  • 03
    Authorize signer: Confirm signatory authority and title for entities.
  • 04
    Execute: Sign, notarize if required, and distribute certified copies.

Typical eSigning and routing flow

A standard digital workflow captures the document, places fields, authenticates signers, records actions, and stores the final record with an audit trail.

  • Upload: Add the disclosure PDF or DOCX to the eSignature platform.
  • Place fields: Insert signature, date, and optional initials or checkbox fields.
  • Authenticate: Use email, SMS code, KBA, or stronger methods where required.
  • Finalize: Capture signature, generate certificate, and store copy.

Common workflow settings for online completion

Configure authentication, conditional logic, and retention before sending to ensure each certification is compliant and auditable.

Field Configuration
Authentication method Email link, SMS OTP, KBA, or enterprise SSO
Conditional fields Show additional questions when checkboxes trigger them
Retention settings Set automatic archival durations per policy
Notifications Enable sender and recipient completion alerts

File types, integrations, and security considerations

Use a platform that supports standard formats, integrations, and secure transport so signed certifications meet recordkeeping requirements.

  • Formats supported: PDF, DOCX, HTML
  • Integrations: CRM/ERP and cloud storage connectors
  • Encryption: TLS in transit; AES-256 at rest

Confirm the platform supports audit trails, retention policies, and any industry-specific certifications required by regulators or internal policy.

Key timelines to keep in mind

Timelines vary by use: transactional closings, regulatory response windows, and retention obligations each have distinct timing requirements.

Effective date entry:

Enter the MM/DD/YYYY effective date on the certification

Delivery to recipient:

Provide the signed certification immediately upon execution

Regulatory response window:

Respond to formal agency requests within agency-prescribed days

Record retention start:

Retention begins on the document creation or effective date

Audit availability:

Ensure signed files are retrievable for review during retention period

Common mistakes to avoid when preparing certifications

  • Using informal or vague language that leaves material facts ambiguous and invites dispute.
  • Mismatched signer names and titles that prevent acceptance by third parties or trigger tax withholding.
  • Failing to notarize or obtain required witness signatures when state law or counterparty conditions demand them.
  • Neglecting to preserve an auditable record—missing timestamps, IP logs, or certificates can weaken enforceability.

Principal penalties and legal risks

Perjury Risk: Criminal penalties possible
Contract Voidability: Misleading disclosure can void agreements
Regulatory Fines: Enforcement fines may apply
Tax Withholding: Backup withholding: 24% rate
I-9 Penalties: $281–$2,789 per violation
Intentional Disregard: $660+ per return

Security and compliance controls to look for

Encryption: TLS 1.2/1.3 in transit; AES-256 at rest
Audit trail: Complete timestamp and IP activity logs
Certifications: SOC 2 Type II and ISO 27001
HIPAA support: BAA available where required
21 CFR Part 11: Controls for FDA-regulated records
Accessibility: WCAG 2.0 Level AA compliance

Essential components of a professional Legal Disclosure Certification

A clear structure and supporting elements increase enforceability and reduce downstream disputes. Each element below should be present or addressed by reference to an exhibit.

Title and Parties

A concise title plus full legal names and capacities of all parties, so the certification identifies who is attesting and in what role, reducing ambiguity in enforcement.

Recitals

Contextual background that explains the transaction or obligation the disclosure supports, linking the certification to the operative agreement or filing where applicable.

Material Facts

A numbered list of material facts, exceptions, or disclosures that the signer must affirm, with cross-references to exhibits or supporting documentation when necessary.

Attestation Clause

Language that the signer swears the information is true under penalty of law, including acknowledgement of consequences for false statements.

Signature Block

Printed name, title, organization, signature, and date; for entity signers include capacity language (e.g., 'authorized representative').

Attachments

Exhibits, supporting documents, or certifications referenced by number and date to ensure the certification ties to specific evidence.

How organizations use a Legal Disclosure Certification in practice

Real-world examples show common uses: closing checklists, regulatory attestations, vendor due diligence, and employee certifications.

Vendor Due Diligence

A procurement team requires a certified statement of compliance from a vendor

  • The vendor completes a numbered disclosure list
  • The signed certification becomes part of the contract file and supports audit and compliance reviews for procurement.

Property Closing

A broker requests a disclosure certification on material defects

  • The seller lists known defects and signs under attestation
  • The executed certification is retained with closing documents and provides evidence for lender and title insurance review.

Key milestones in preparing and finalizing the certification

A milestone view helps teams track who must act and when during certification preparation, execution, and archiving.

01

Draft Complete

Certification text finalized and supporting exhibits assembled for review

02

Review and Approval

Legal or compliance signs off and confirms required attestations

03

Execution

Authorized signer executes; notarization/witnessing occurs if required

04

Archive

Signed certification stored with audit trail and retained per policy

Frequently asked questions about Legal Disclosure Certifications

Answers to common questions about execution, enforceability, notarization, and corrections for signed certifications.


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