Legal Title Responsibility Form

LEGAL TITLE RESPONSIBILITY FORM

This Legal Title Responsibility Form (the "Form") is made and entered into as of Effective Date: by and between Owner Name: , Owner Entity Type: Individual Corporation Other , with principal address: (hereinafter "Owner"), and Custodian Name: , Custodian Entity Type: Individual Corporation Other , with principal address: (hereinafter "Custodian"). Owner and Custodian are each a "Party" and collectively the "Parties."

RECITALS

WHEREAS, Owner is the legal or beneficial holder of title to certain assets, instruments, or records described as: (the "Assets"); and

WHEREAS, Owner maintains documentary evidence of title, including but not limited to certificates, deeds, title policies, certificates of title, registration documents, and related endorsements, which are listed in the inventory below; and

WHEREAS, Owner desires to designate Custodian to accept responsibility for certain aspects of custody, safekeeping, control, and limited transfer authority over specified title documents subject to the terms, conditions, and limitations set forth in this Form.

NOW THEREFORE, in consideration of the mutual covenants and agreements contained herein and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties agree as follows:

1. DEFINITIONS

1.1 "Title Documents" means originals and copies of deeds, certificates, registration documents, title policies, instruments, assignments, endorsements, and other written evidence that establish, transfer, encumber, or affect legal title to the Assets.

1.2 "Inventory" means the schedule of Title Documents delivered to Custodian and appended to this Form as an accurate record of custody and responsibility.

2. APPOINTMENT; SCOPE OF RESPONSIBILITY

2.1 Appointment. Owner hereby appoints Custodian to accept and hold the Title Documents identified in the Inventory solely for the purposes set forth in this Form. Custodian accepts such appointment and agrees to perform the duties described herein.

2.2 Permitted Acts. Custodian is authorized to: (a) hold, preserve, and maintain the Title Documents in accordance with the standards of care set forth in Section 4; (b) release or transfer Title Documents only upon receipt of a written, duly authorized instruction from Owner or as set forth in a separate written transfer protocol signed by both Parties; and (c) permit access to Title Documents by third parties only as expressly authorized in writing by Owner or by operation of law.

3. INVENTORY AND DELIVERY

3.1 Inventory. Owner shall deliver to Custodian an Inventory describing each Title Document, including document type, document date, identifying number (if any), and any endorsements or recorded encumbrances. The Inventory provided at the time of delivery is described below and may be updated only by written amendment signed by both Parties.

4. STANDARDS OF CARE; RECORDS

4.1 Custody and Care. Custodian shall exercise reasonable care and employ reasonable security measures customary in the industry for safekeeping comparable assets. Custodian shall segregate Title Documents to avoid commingling and shall maintain suitable records evidencing receipt, storage location, movement, and ultimate disposition of each Title Document.

4.2 Access to Records. Upon reasonable prior written notice, Owner shall have the right to inspect records maintained by Custodian with respect to the Title Documents during normal business hours. Custodian shall not withhold records that are reasonably necessary to verify the status, existence, or condition of Title Documents.

5. REPRESENTATIONS AND WARRANTIES

5.1 Owner represents and warrants that: (a) Owner legally holds the Title Documents and has full authority to deliver custody of the Title Documents as provided herein; (b) each Title Document listed in the Inventory is genuine to Owner's knowledge and free of unauthorized encumbrances except as expressly disclosed in writing.

5.2 Custodian represents and warrants that: (a) it has the legal capacity to accept custody of the Title Documents; and (b) it will perform its duties hereunder in good faith and in accordance with applicable law.

6. INDEMNIFICATION; LIMITATION OF LIABILITY

6.1 Indemnity by Owner. Owner shall indemnify, defend and hold harmless Custodian from and against any and all claims, liabilities, losses, damages, costs and expenses (including reasonable attorneys' fees) arising out of Owner's false representation of title, forgery in Title Documents, or Owner's failure to disclose material encumbrances.

6.2 Limitation of Liability. Except for willful misconduct or gross negligence, Custodian's liability for any loss, damage, or failure to perform shall be limited to direct damages and shall not include consequential, incidental, punitive, or special damages. Custodian's liability for loss of a Title Document shall be limited to the reasonable cost of replacement and commercially reasonable efforts to restore the Owner's rights.

7. INSURANCE

Custodian shall maintain, at its expense, insurance coverage reasonably appropriate to the value and nature of Title Documents under custody. Evidence of such insurance shall be provided to Owner upon request. Insurance shall not relieve Custodian of its obligations under this Form.

8. TERM; TERMINATION; RETURN OF DOCUMENTS

8.1 Term. This Form shall commence on the Effective Date and continue until terminated by either Party as provided herein.

8.2 Termination. Either Party may terminate this Form upon thirty (30) days' prior written notice to the other Party. Upon termination, Custodian shall return all Title Documents to Owner within a commercially reasonable period and shall provide a final account of any disbursements or claims affecting the Title Documents.

9. NOTICES

All notices required or permitted under this Form shall be in writing and sent to the addresses below or to such other address as either Party may designate by written notice in accordance with this Section.

10. CONFIDENTIALITY

Each Party shall maintain the confidentiality of non-public information contained in or related to Title Documents and shall not disclose such information except as authorized by the disclosing Party, required by law, or necessary to fulfill the obligations of this Form. Confidentiality obligations shall survive termination of this Form.

11. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

11.1 Governing Law. This Form shall be governed by and construed in accordance with the laws of the State of , without regard to principles of conflict of laws.

11.2 Entire Agreement. This Form, together with any Inventory and the written transfer protocol executed by the Parties, constitutes the entire agreement between the Parties with respect to the subject matter and supersedes all prior agreements and understandings, whether written or oral.

11.3 Severability. If any provision of this Form is held to be invalid, illegal, or unenforceable, the remaining provisions shall continue in full force and effect and shall be enforced to the fullest extent permitted by law.

12. AMENDMENTS; WAIVER; COUNTERPARTS

12.1 Amendments. No amendment or modification of this Form shall be effective unless in writing and signed by both Parties.

12.2 Waiver. The failure of either Party to enforce any provision of this Form shall not constitute a waiver of such provision or of the right to enforce such provision subsequently.

12.3 Counterparts. This Form 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. Execution by electronic signature or facsimile shall be binding.

13. MISCELLANEOUS

13.1 Subcontracting and Delegation. Custodian may delegate ministerial functions to subcontractors so long as Custodian remains responsible for compliance with this Form and requires subcontractors to maintain confidentiality and security consistent with this Form.

13.2 Remedies. The Parties acknowledge that a breach of this Form may cause irreparable harm for which monetary damages may be inadequate. Accordingly, upon a breach or threatened breach, the non-breaching Party shall be entitled to seek equitable relief, including injunctive relief, in addition to any other remedies at law or in equity.

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