Legal TPP Application

LEGAL TPP APPLICATION

This Legal TPP Application is submitted on this date by Applicant Name: , entity type: Individual Corporation LLC Partnership Other , state of formation: , tax identifier: , with principal address: (Applicant). The receiving party to this application is Receiving Entity Name: , with principal address: (Receiving Entity).

RECITALS

WHEREAS, Applicant seeks authorization from Receiving Entity to act as a Third-Party Provider ("TPP") to access, process, transmit or otherwise handle certain data and services on behalf of Receiving Entity in accordance with the terms and conditions set forth herein; and

WHEREAS, Receiving Entity requires that all prospective TPPs submit an application containing representations, certifications, and documentation sufficient to verify the Applicant's legal authority, operational capabilities, security safeguards, and compliance with applicable laws and industry standards; and

WHEREAS, the parties intend for this Application to serve both as a request for authorization and as a binding record of the Applicant's representations and undertakings upon acceptance by Receiving Entity.

NOW THEREFORE

In consideration of the mutual covenants set forth in this Application and other good and valuable consideration, the receipt and sufficiency of which are acknowledged, Applicant submits this Application and agrees to be bound by the representations, warranties, certifications and obligations contained herein.

1. DEFINITIONS

For purposes of this Application: "Application" means this document and any schedules, attachments or exhibits; "TPP Services" means the services, data processing and access activities described in Section 2; "Confidential Information" means non-public business, technical and personal data disclosed by Receiving Entity to Applicant in connection with TPP Services, subject to the exceptions set forth below.

2. SCOPE OF APPLICATION

Applicant requests authorization to provide the following TPP Services to Receiving Entity. Applicant must accurately describe the services, modalities of access, and categories of data to be accessed:

3. REPRESENTATIONS AND WARRANTIES

Applicant represents and warrants that: (a) it is duly organized, validly existing and in good standing under the laws of the jurisdiction of formation and has full corporate power and authority to execute and perform this Application; (b) the individual executing this Application on Applicant's behalf has been duly authorized; (c) all information, statements and documents submitted in support of this Application are true, complete and correct as of the date of submission; and (d) Applicant will comply with all applicable laws, regulations, and industry standards in performing TPP Services.

4. SECURITY, PRIVACY AND COMPLIANCE

Applicant shall maintain administrative, technical and physical safeguards reasonably designed to protect Confidential Information and personal data against unauthorized access, disclosure, alteration or destruction. Applicant shall promptly notify Receiving Entity of any security incident affecting Receiving Entity data and shall cooperate in incident response and remediation. Applicant certifies adherence to the following standards (check all that apply):

SOC 2 ISO 27001 Other industry standard

5. BACKGROUND CHECKS; SCREENING

Applicant acknowledges that Receiving Entity may conduct background, security and compliance screening of Applicant and its key personnel, including but not limited to identity verification, criminal history checks, sanctions and adverse media screening. Applicant will provide any requested documentation or third-party audit reports required by Receiving Entity to evaluate Applicant's suitability.

6. FEES; PAYMENT

If applicable, Applicant acknowledges and accepts the fee structure for onboarding, review or ongoing access as set by Receiving Entity. Proposed onboarding fee (if applicable):

7. CONFIDENTIALITY

Applicant shall hold Confidential Information in strict confidence and shall not use Confidential Information except as expressly permitted by Receiving Entity. Applicant's obligations of confidentiality survive termination of any authorization to provide TPP Services. Disclosure is permitted only when required by law, provided Applicant gives Receiving Entity prior notice to the extent permitted by law.

8. INDEMNIFICATION

Applicant shall indemnify, defend and hold harmless Receiving Entity and its officers, directors and employees from and against any and all claims, liabilities, losses, damages, costs and expenses (including reasonable attorneys' fees) arising from Applicant's breach of this Application, Applicant's negligence or willful misconduct, or Applicant's unauthorized use or disclosure of Receiving Entity data.

9. TERM AND TERMINATION

This Application becomes effective upon execution by both parties and remains in effect until rescinded or superseded by a formal TPP agreement or terminated by Receiving Entity in its discretion. Receiving Entity may suspend or revoke Applicant's authorization for any material breach or for failure to maintain required security controls or compliance qualifications.

10. NOTICES

All notices required or permitted under this Application shall be in writing and delivered to the following addresses for each party:

11. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

This Application shall be governed by and construed in accordance with the laws of the state of without regard to conflict of law principles. This Application constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior understandings, proposals or agreements. If any provision of this Application is found to be invalid or unenforceable, the remainder of this Application shall remain in full force and effect.

12. AMENDMENTS; WAIVER; COUNTERPARTS

No amendment or waiver of any provision of this Application shall be effective unless in writing and signed by authorized representatives of both parties. Failure to exercise any right shall not constitute a waiver. This Application may be executed in counterparts, each of which will be deemed an original but all of which constitute one and the same instrument.

13. CERTIFICATIONS

By signing below, Applicant certifies under penalty of perjury that all information provided in this Application is true and correct to the best of Applicant's knowledge and that Applicant agrees to the representations, warranties, and obligations set forth above. Applicant further consents to Receiving Entity's verification activities and agrees to cooperate with any due diligence inquiries.

ADDITIONAL INFORMATION

Application submitted on:

Sign Now