Owner Renewal Application Form

OWNER RENEWAL APPLICATION FORM

This Owner Renewal Application Form (the "Application") is submitted by the Owner identified below to request renewal of the existing agreement, lease, management arrangement, or ownership rights described herein. Completion and signature by an authorized representative constitutes an attestation that the information provided is accurate and that the Owner agrees to the terms and conditions set forth in this Application.

WHEREAS

WHEREAS, Owner Name: currently holds rights, title, or a management interest in the property described below; and

WHEREAS, Owner seeks renewal of the current agreement that expires on ; and

WHEREAS, the Parties agree to renew subject to the terms and conditions set forth in this Application and the accompanying renewal provisions.

OWNER INFORMATION

Individual Corporation LLC Partnership Other:

PROPERTY / AGREEMENT DETAILS

Current Agreement Expiration Date:    Renewal Requested Effective Date:

SCOPE OF WORK

Describe the services, responsibilities, obligations, or rights to be renewed or continued under this renewal (include measurable deliverables, performance standards, and any changes from the existing agreement).

PAYMENT TERMS

Renewal Fee Amount: $ payable in accordance with the schedule below. Payments must be made in U.S. dollars unless otherwise agreed in writing.

Late Payment Charge: If any payment is not received within days after the due date, Owner shall be assessed a late fee equal to % per month on the unpaid balance, or the maximum lawful rate if lower. Charges for returned payments or collection costs may also apply.

TERM AND TERMINATION

Renewal Term Commences on: and continues until: unless earlier terminated as provided below.

Either party may terminate this renewed arrangement for material breach if the breaching party fails to cure such breach within days after written notice. Additionally, this Agreement may be terminated immediately upon insolvency, assignment for benefit of creditors, or the commencement of bankruptcy proceedings by or against a party.

Notice of nonrenewal or termination must be provided in writing at least days prior to the effective termination or nonrenewal date.

CONFIDENTIALITY

Each party shall maintain in strict confidence all non-public information disclosed by the other party in connection with this renewal, including financial terms, proprietary methodologies, and personal data ("Confidential Information"). Confidential Information shall not be disclosed to third parties except to those employees, agents, or contractors having a need to know and who are bound by confidentiality obligations no less protective than those herein. Confidential Information shall not include information that is publicly available without breach of this Agreement or lawfully obtained from a third party not subject to confidentiality obligations.

GOVERNING LAW

This Application and any renewal agreement arising from it shall be governed by and construed in accordance with the laws of the state of without regard to conflict of laws principles. Venue for any dispute shall be in the courts of competent jurisdiction in that state.

ENTIRE AGREEMENT

This Application, together with any written renewal agreement executed by the parties and any documents expressly incorporated herein by reference, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior oral or written understandings. No amendment or modification shall be effective unless in writing and signed by authorized representatives of both parties.

DECLARATIONS, CERTIFICATIONS AND ATTACHMENTS

By signing below, the signer certifies under penalty of perjury that the information supplied in this Application is true, correct and complete to the best of the signer's knowledge and that the signer is duly authorized to execute this Application on behalf of the Owner.

Signed original agreement Proof of ownership or authorization Financial statements or payment history Other:

AUTHORIZATION

The undersigned warrants and represents that they are duly authorized to submit this Owner Renewal Application on behalf of the Owner and to bind the Owner to the terms set forth herein. The Owner agrees to cooperate in good faith to execute any additional documents reasonably necessary to implement the renewal.

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