Legal Protection Declined Declaration

LEGAL PROTECTION DECLINED DECLARATION

This Legal Protection Declined Declaration (the "Declaration") is made as of by and between Provider Name: with principal address: and Client Name: with principal address: .

RECITALS

WHEREAS, Provider offers optional legal protection products and related services described in documentation provided to Client (collectively, the "Legal Protection");

WHEREAS, Provider has presented the scope, material terms, limitations, and any applicable fees of the Legal Protection to the Client by written presentation, by electronic disclosure, or by verbal explanation at or prior to the Effective Date; and

WHEREAS, Client has considered the offer and elects to decline enrollment in, or purchase of, the Legal Protection as set forth below.

NOW, THEREFORE

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

1. DECLINATION

Client hereby expressly declines the Legal Protection offered by Provider. By checking the box below and signing this Declaration, Client elects not to enroll in or accept any legal protection product or service offered in connection with the transaction described above.

I decline all optional legal protection products and services offered by Provider.

2. ACKNOWLEDGMENT OF OFFER AND INFORMED CONSENT

Client acknowledges that Provider disclosed the nature, scope, material exclusions, and any applicable fees of the Legal Protection prior to Client's declination. Client acknowledges that Client had the opportunity to ask questions and obtain clarification regarding the Legal Protection and that Client either (i) obtained such clarification or (ii) voluntarily declined further explanation.

Client further acknowledges that Client has been advised that consulting independent legal counsel is available and may be beneficial to fully understand the consequences of declining Legal Protection.

3. WAIVER AND RELEASE

To the fullest extent permitted by law, Client hereby releases and forever discharges Provider, its affiliates, officers, agents, employees, successors and assigns from any and all claims, liabilities, causes of action, demands, and damages, whether known or unknown, arising out of or in any way related to Client's decision to decline the Legal Protection, including but not limited to any loss, cost, expense, or injury that Client may suffer as a result of such declination.

4. NO LIABILITY FOR PROVIDER

Client agrees that Provider shall have no liability for any damages, claims or losses resulting from Client's election to decline Legal Protection. This limitation applies regardless of whether such liability arises in contract, tort (including negligence), strict liability, or otherwise, except where prohibited by applicable law.

5. INDEMNIFICATION

Client agrees to indemnify, defend and hold harmless Provider and its affiliates from and against any and all third-party claims, losses, liabilities, costs and expenses (including reasonable attorneys' fees) that arise directly or indirectly from Client's decision to decline the Legal Protection, except to the extent caused by Provider's gross negligence or willful misconduct.

6. TERM AND EFFECT

This Declaration becomes effective on the Effective Date set forth above and shall remain binding on the parties with respect to the declination described herein for the duration of any relationship between Client and Provider arising from the transaction for which the Legal Protection was offered, unless earlier terminated by written agreement signed by both parties.

7. NOTICES

Any notice required or permitted under this Declaration shall be in writing and delivered to the addresses set forth below or to such other address as a party may designate by notice. Notices shall be deemed given upon personal delivery, three days after deposit in the United States mail, or one day after deposit with a nationally recognized overnight courier.

8. AMENDMENTS; WAIVER

This Declaration may be amended only by a written instrument executed by both parties. No waiver of any breach or default shall constitute a continuing waiver or a waiver of any other breach or default.

9. GOVERNING LAW

This Declaration shall be governed by and construed in accordance with the laws of the state specified in the field below, without regard to conflict of law principles.

10. ENTIRE AGREEMENT

This Declaration constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations and understandings, whether written or oral, concerning such subject matter.

11. SEVERABILITY

If any provision of this Declaration is held to be invalid, illegal or unenforceable in any respect, the remaining provisions shall remain in full force and effect, and the parties shall endeavor in good faith to replace the invalid or unenforceable provision with a valid and enforceable provision that achieves, to the extent possible, the original intent of the parties.

12. COUNTERPARTS

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

13. CERTIFICATION

Client certifies that the statements contained in this Declaration are true and correct to the best of Client's knowledge, that Client executed this Declaration voluntarily, and that Client understands that by declining the Legal Protection Client may forgo certain rights or remedies that would otherwise be available.

A record of the offer and Client's declination shall be maintained by Provider in accordance with Provider's business practices.

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