Name Telephone Number. FOR THE BUYER: Ian X.X. Xxxxxx (000) 000-0000
Name Telephone Number. My signature indicates that I have read and agree to be bound by the conditions noted on the following six pages of this application/agreement.
Name Telephone Number. Xxxxxx Xxxxxxxx (000) 000-0000
Name Telephone Number. Telephone call backs shall be made to the Parties if joint instructions are required pursuant to the agreement. All funds transfer instructions must include the signature of the person(s) authorizing said funds transfer and must not be the same person confirming said transfer.
Name Telephone Number. 2. ------------------------- ------------------------- 3. ------------------------- ------------------------- If to Fargo:
Name Telephone Number. Telephone call backs shall be made to each party if joint instructions are required pursuant to the agreement. All funds transfer instructions must include the signature of the person(s) authorizing said funds transfer and must not be the same person confirming said transfer. Payable upon Account Opening Payable Upon Account Opening and in Advance each year in which we act as Escrow Agent A New Account Acceptance Fee will be charged for the Bank’s review of the Escrow Agreement along with any related account documentation. The account will be invoiced in the month in which the account is opened and annually thereafter and fees will not be pro-rated. Payment of the invoice is due 30 days following receipt. The Administrative Fee will cover a maximum of ten (10) annual administrative hours for the Bank’s standard Escrow services including account setup, safekeeping of assets, investment of funds, collection of income and other receipts, preparation of statements comprising account activity and asset listing, and distribution of assets in accordance with the specific terms of the Escrow Agreement. These fees cover a full year, or any part thereof, and thus are not prorated in the year of termination.
Name Telephone Number. Storage: Laws & Standards:
Name Telephone Number. Telephone call-backs may be made to each Issuer and Depositor if joint instructions are required pursuant to this Escrow Agreement. Wire transfer of fund: $35.00/domestic wire initiated; $75.00/international payment Checks Cut: $10.00/check cut 1099 Preparation: $12.00/1099 prepared 1042-S Preparation: $50.00/per 1042-S Returned Check: $30.00/returned item An additional annual fee of 15 basis points on the escrow account balance payable in advance may be charged for investments other than institutional money market funds with which the Escrow Agent has established servicing arrangements. Out-of-pocket expenses, fees and disbursements and services of an unanticipated or unexpected nature are not included in the above schedule.
Name Telephone Number. You consent for me to communicate with you by mail, e-mail, and/or phone at the following addresses and phone numbers, and you will IMMEDIATELY advise me in the event of any change: Street Address E-mail Address Telephone Number (s) Emails, cell phones, computers and faxes are not private: No form of client communication is 100 percent guaranteed to be private. Conversations can be overheard; e-mails can be sent to the wrong recipients and phone conversations can be listened to by others. But in today’s age of e-mail, Facebook, Twitter and other social media, counselors have to be more aware than ever of the ethical pitfalls they can fall into by using these types of communication. Although they add convenience and expedite communication, it is very important to be aware that computers and e-mail and cell phone communication can be accessed relatively easily by unauthorized people and hence can compromise the privacy and confidentiality of such communication. E-mails, in particular, are vulnerable to such unauthorized access due to the fact that servers have unlimited and direct access to all e-mails that go through them. My computers are equipped with a firewall, virus protection and passwords, and I also password-protect and back up all confidential information from my computers (stored off-site) on a regular basis. If you need to cancel or change an appointment time; a telephone call or SMS (text) may get the message to me in a timely manner. Please notify me if you decide to avoid or limit, in any way, the use of e-mails, cell phones SMS (text), faxes, or storage of confidential information on computers. If you communicate confidential or private information via SMS (text) or e-mail, I will assume that you have made an informed decision, will view it as your agreement to take the risk that such communication may be intercepted, and I will honor your desire to communicate on such matters via e-mail. Please do not use e-mail or faxes for emergencies. Due to computer or network problems, e-mails may not be deliverable, and I may not check my e-mails or faxes daily. I prefer to use texting to arrange or modify appointments only. If you e-mail or text me content related to your therapy sessions, please note that e-mail is not completely secure or confidential and unless there is an emergency, therapeutic content is best discussed in-session. Please do not send forwarded messages regardless of how inspirational they may seem to my professional e-mail address...
Name Telephone Number. Xxxxx Xxxxxxx (000) 000-0000 Office (000) 000-0000 Cell Phone
