Transfer Authorization Verification

TRANSFER AUTHORIZATION VERIFICATION

Client Name:    Authorized Representative:

RECITALS

WHEREAS, Client Name: seeks to effect a transfer of assets or funds (the "Transfer") identified herein; and

WHEREAS, Agent Name: is authorized to initiate, verify, and confirm the Transfer on behalf of Client under the terms set forth in this Transfer Authorization Verification; and

WHEREAS, the Parties require formal verification and documentation of authority prior to the execution of the Transfer to reduce the risk of fraud, error, or unauthorized access.

SCOPE OF WORK

TRANSFER DETAILS & AUTHORIZATION

Transfer Amount:    Currency:

Transfer Date (scheduled):

Transfer Reference / Memo:    Authorization Code (if any):

VERIFICATION PROCEDURES

Verification Method(s) employed (check all that apply):

Government-issued photo identification verified    Independent callback verification    Two-factor or multi-factor authentication

PAYMENT TERMS

Where payments for services or fees are required in connection with the Transfer, the Parties agree as follows.

Late Fee: The Parties agree that any overdue payment shall incur a late fee equal to plus reasonable collection costs and interest to the extent permitted by law.

TERM AND TERMINATION

Effective Date:    Termination Date:

Either Party may terminate this Authorization upon written notice to the other Party delivered at least days prior to the intended termination date. Termination shall not affect obligations incurred prior to the effective date of termination.

CONFIDENTIALITY

All non-public information disclosed in connection with this Authorization, including account identifiers, verification materials, and any authentication data, shall be treated as Confidential Information. The receiving Party shall not disclose Confidential Information except to its employees, agents, or service providers who have a need to know and are bound by confidentiality obligations at least as protective as those herein. This obligation survives termination of this Authorization for a period of three (3) years, or longer if required by applicable law.

REPRESENTATIONS, WARRANTIES & INDEMNITY

Each Party represents and warrants that it has the full legal right, power, and authority to enter into and perform this Authorization. The Authorizing Party represents that the authorization provided is genuine and that the transfer is not fraudulent. Each Party agrees to indemnify and hold harmless the other Party from and against any losses, liabilities, claims, damages, or expenses (including reasonable attorneys' fees) arising from any breach of the foregoing representations or from the unauthorized or negligent acts of its personnel in connection with the Transfer.

GOVERNING LAW

This Authorization shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles. Venue for any dispute shall be in the courts located in the same state unless the Parties agree otherwise in writing.

ENTIRE AGREEMENT

This document constitutes the entire agreement between the Parties with respect to the subject matter hereof and supersedes all prior negotiations, understandings, and agreements, whether written or oral. Any amendment must be in writing and signed by both Parties to be effective.

AUTHORIZATION AND CERTIFICATION

By signing below, the Authorizing Party certifies that they are duly authorized to instruct the Transfer, that all information provided in this Authorization is true and correct, and that they consent to the verification procedures described herein. The Receiving Party or Agent certifies that it will rely on the verification procedures described herein and shall execute the Transfer consistent with the verified authorization.

Electronic Verification and Signature Consent: I consent to electronic verification and to the use of electronic signatures for purposes of this Authorization.

ADDITIONAL PROVISIONS

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