SIGN AND DATE Sample Clauses

SIGN AND DATE. All sums payable under the Amended and Restated Executive Salary Continuation Agreement, by reason of my death shall be paid to the Primary Beneficiary(ies), if he or she survives me, and if no Primary Beneficiary(ies) shall survive me, then to the Secondary (Contingent) Beneficiary(ies). This beneficiary designation is valid until the participant notifies the bank in writing. Executive Date

SIGN AND DATE. This Beneficiary Designation Form is valid until the participant notifies the bank in writing.

SIGN AND DATE. On an annual basis, for the most recent year only, select the appropriate answer (yes or no) or write in the appropriate response indicating if you have been apprehended, arrested, charged, or convicted by Federal, State, or local authorities for any violation of any Federal law (including the Uniform Code of Military Justice), State law, County law or Municipal law? (Do not include traffic fines of less than $300.) In addition, are you aware of a current allegation/investigation of child abuse/neglect or domestic violence by you, or have you otherwise been involved in any act or received notification from the Family Advocacy Program of an incident that met Department of Defense criteria for child maltreatment or domestic abuse? Mark Yes or No for each category.

SIGN AND DATE. WAIVER PART 7 OF 8

SIGN AND DATE. By signing below, the Tenant acknowledges receipt of a complete copy of this Rental Agreement with all blanks filled in.

SIGN AND DATE. The information on this form is true and correct to the best of my knowledge. I agree to participate in the Settlement. I authorize any dealership that serviced my vehicle to release records to the Settlement Administrator as needed to assist in the payment of my Claim. To the extent I am seeking reimbursement for a Qualifying Loss for which I do not have documentation, I attest as follows: ☐ Cash Payment for Repairs Performed at Hyundai or Kia Dealership: I hereby swear under penalty of perjury under the laws of the United States that I had repairs performed at an authorized Hyundai or Kia dealership (name of dealership) and paid $ in cash but I do not have a cash payment receipt from the dealership showing payment. ☐ Cash Payment in General: I hereby swear under penalty of perjury under the laws of the United States that I paid for (description of reason for payment) and paid $ in cash but I do not have a cash payment receipt showing payment. Along with this attestation, I am submitting a valid corresponding final invoice or repair order and proof of withdrawal of cash from a bank or credit union. ☐ Unrecovered Class Vehicle: I hereby swear under penalty of perjury under the laws of the United States that I experienced a Qualifying Theft of my Class Vehicle on (Date) and as of today, I still have not recovered my Class Vehicle. (Note: In the event a Class Vehicle is recovered following the submission of this Claim, but before payment is issued from the Common Fund, you must notify the Settlement Administrator of the recovery and the condition of the recovered Class Vehicle.) Signature: Date: ‐ ‐ MM DD YYYY

SIGN AND DATE. By signing below, I confirm that I have reviewed the confidentiality and consent agreement above, had the opportunity to ask questions, and provide my consent willingly. I consent to EHA sharing information with the campus partners selected above on a need-to-know basis for the purposes of service delivery.

SIGN AND DATE. An assessment of suitability of the course

SIGN AND DATE. Notice to Buyer: Do not sign this Enrollment Agreement before you read it or if it contains any blank spaces. You are entitled to an exact copy of this signed Enrollment Agreement. Keep all documents regarding enrollment and financial obligations to protect your legal rights. I have read the terms and conditions contained in this Enrollment Agreement and the current catalog, which I have received and read, and understand that, with my signature, this agreement constitutes a binding contract after written acceptance by the School. Contract changes may be made only by written consent of both parties As a requirement of my enrollment I am providing proof of my High School Diploma or GED. If I am unable to provide proof of either of these documents my signature below certifies that I have earned the document and have met that entrance requirement. Photocopy of ID card or U.S. Driver’s License issued by Federal, State or Local agency or entity is required with this enrollment agreement. ID must contain information such as name, date of birth, gender and address. Less than 10% 90% 10% 10%-19% 80% 20% 20%-29% 60% 40% 30%-39% 40% 60% 40%-50% 20% 80% More than 50% No Refund 100% A refund due a student shall be based on the date of withdrawal or termination, which is the last date of attendance by the student, and will be paid within 60 days from the date of withdrawal or termination. Less than 25% 75% 25% 26%-49% 50% 50% 50%-74% 25% 75% More than 75% No Refund 100% A refund due a student shall be based on the date of withdrawal or termination, which is the last date of attendance by the student, and will be paid within 45 days from the date of withdrawal or termination.

SIGN AND DATE. Notice to Buyer: Do not sign this Enrollment Agreement before you read it or if it contains any blank spaces. You are entitled to an exact copy of this signed Enrollment Agreement. Keep all documents regarding enrollment and financial obligations to protect your legal rights. As a requirement of my enrollment I am providing proof of my High School Diploma or GED; however, if I am unable to provide proof of this document my signature below certifies that I have earned the document and have met that entrance requirement. Photocopy of ID card or U.S. Driver’s License issued by Federal, State or Local agency or entity is required with this enrollment agreement. ID must contain information such as name, date of birth, gender and address. I have read the terms and conditions contained in this Enrollment Agreement and have received the current course catalog. I understand that for this contract to be binding, the contract must be signed by myself and the school official. Contract changes may be made only by written consent of both parties.