CONFIDENTIAL

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www.USDebtResolve.com

Client Enrollment Package

Prepared Exclusively For

John Doe

Presented By:

Sales Manager

9/22/2010

Phone: 877-991-3328

Email: sales@usdebtresolve.com

US Debt Resolve INC.

17311 Dallas Parkway Suite 350

Dallas, TX 75248

USDR BSI ISO 9001 Certification


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Congratulations on taking the first step towards financial freedom. You have chosen to undertake a large task and like all great endeavors, knowing where to start is the key to success. Financial freedom and independence begin with resolving debts and having a plan. Personal finance is not always easy. At certain times this can be an intimidating challenge and at US Debt Resolve we understand. You have already taken the first, most important and most difficult step - taking control of your finances. We appreciate and highly value the trust you have placed in us. As we partner with you to achieve your financial goals, we will be here to address your concerns, questions and offer advice.

US Debt Resolve's enrollment process is easy! In order to get started and begin your USDR program, simply complete the following enrollment information. Below you will find the enrollment checklist for your convenience. The information you provide will be submitted to USDR'S enrollment division for final acceptance and account set up. In order to expedite the approval process and to ensure the program start date as outlined within, please send the completed enrollment package via fax before 5:00pm on the due date.
Due Date:     9/22/2010 Fax:    

Client Enrollment Checklist

consultation_summary Sign / Date "Consultation Summary" (pg 3)


creditor_worksheet Initial "Creditor Worksheet" (pg 4)


o_and_i_schedule Initial "Overview and Investment Schedule" (pg 5)


client_auth Sign / Date "Client Authorization" (pg 6) (Allows USDR to engage Creditors)


personal_info Sign / Date "Client Personal Information Sheet" (pg 7)


eft_form Sign / Date "Electronic Funds Transfer Form" (pg 8)


service_agreement Initial / Date "Client Service Agreement" (pg 9 & 10)


creditor_relationship Sign / Date "Client / Creditor Relationship Statement" (pg 11)


voided_check Include Copy of Voided Check


global_form Sign / Date Global "Special Purpose Account Application" (last three pages)
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Client Authorization Form

  Authorization to obtain information. I hereby grant US Debt Resolve this authorization to request, receive, and discuss any and all account information with my Limited Power of Attorney to negotiating payments, terms and conditions, settlements, extensions and/or deferments of my account. In addition, I authorize the review of my financial situation with my creditors, and I agree to indemnify and hold USDR harmless of any loss, liability, or damage by any reason thereof. This authority is assignable and transferable. It is understood that a copy of this form will also serve as authorization.

By signing this authorization, I hereby acknowledge that I have read the USDR Agreement and accept and consent to all the terms set forth in the Agreement.
 
 
John Doe
Primary Name

   
 
 
 
Signature

________________________
Date
 
 
 

Co-Applicant Name
   
 
 
 
Signature

________________________
Date
 
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Client Personal Information

Primary Applicant


Co-Applicant


* First Name:

 John

First Name:

 

* Last Name:

 Doe  

Last Name:

   

* Address:

 1 Main St

Address:

 

* City:

 Dallas

City:

 

* State:

 TX

State:

 

* Zip:

 75248

Zip:

 
 

* Phone:

 555-555-1212

Phone:

 

Mobile:

 

Mobile:

 

Email:

 

Email:

 
 

* Date of Birth:

 3/21/1964

* Date of Birth:

 

* SSN:

 111-11-1111

* SSN:

 
 
      * Denotes required fields       * Denotes required fields for co-applicant, if any
Employment Information

Employer:

 

Employer:

 

Since:

 

Since:

 

Address:

 

Address:

 

City:

 

City:

 

State / Zip:

     

State / Zip:

     

Position:

 

Position:

 

Work Phone:

 

Work Phone:

 
 
Alternate Contact (Not Required)
  USDR is authorized to discuss my account with the following individuals (s):
 

Name:

 

Relationship:

 

Address:

 

Phone:

 

City:

 

State / Zip:

     
 

Initial:_______________
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Client Service Agreement

This agreement is made this day of December 22nd, 2010 between John Doe (hereinafter referred to as 'CLIENT' even if more than one) and US Debt Resolve (Hereinafter referred to as 'USDR'). CLIENT acknowledges that several members of the USDR staff or other independent contractors may assist in handling this matter.

1. Subject Matter of Agreement. The subject matter of the representation is for USDR to assist in resolving debts owed to the following creditors: see attached creditor worksheet.

2. Not Included in Representation. CLIENT EXPRESSLY ACKNOWLEDGES THAT USDR DOES NOT PROVIDE LEGAL, TAX, OR INVESTMENT ADVICE. IF CLIENT NEEDS LEGAL ADVICE, LEGAL EXPERTISE OR COURT FILINGS, CLIENT MUST SEEK THE ADVICE OF A LAWYER. This AGREEMENT does not include any representation for any claim or cause of action brought against CLIENT including cross-complaints. This AGREEMENT does not cover any appeal in which the CLIENT is an appellant or respondent arising from the original representation, each representation for services requires a separate writing which must be signed by both parties. CLIENT agrees that USDR has not represented that it will advise or assist CLIENT in the modification, improvement or correction of credit entries contained on CLIENT'S credit reports or that USDR can stop all collection phone calls or correspondence.

3. Responsibilities of CLIENT. CLIENT agrees to be truthful and cooperative; to promptly notify USDR of any phone number or address changes; to fill out and return any and all papers and questionnaires supplied by USDR within five days and to reasonably consider USDR's recommendations regarding any potential settlements. CLIENT expressly agrees to make timely payments for services rendered and to reimburse USDR for all fees earned and all cost advanced per paragraph 11 of this AGREEMENT. Responsibilities of USDR. USDR has a duty to maintain the confidentiality of the personal information, confidences and secrets of the CLIENT. USDR will promptly and efficiently perform the duties described in this AGREEMENT; will keep CLIENT reasonably informed of progress in the pursuit of the case's objectives and will respond promptly to the CLIENT'S inquiries and communications.

4. Settlement. USDR will inform the CLIENT of the amount, and the terms and conditions of all settlement offers. CLIENT understands that any correspondence regarding settlements or settlement offers can be appropriately communicated via email, and any copies or access to each settlement agreement will be retrieved in such fashion. Proof of Payment can be located within CLIENT'S Global Client Solutions login. If CLIENT is not involved with the Global Client Solution savings program, CLIENT must agree to refer to CLIENT'S private banking account for proof of payment. CLIENT understands that the services of USDR may have a negative impact on some CLIENT'S credit reports. CLIENT will notify USDR in writing by mail, email or facsimile to begin settling debts by providing the name of the account to be settled, the amount to be offered, and the dates the funds are available to disburse it to creditor. Client will make all settlement payments directly to creditors. USDR will not settle CLIENT'S claim without the approval of the CLIENT, who possesses the absolute right to accept or reject any settlement. Although USDR does not give tax advice, creditors may notify the IRS of any debt forgiveness, which may be taxable to CLIENT.
 
Client Initials

 
Date

 
Cosigner Initials

 
Date

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5. Arbitration of Dispute. If there is any dispute between the parties arising out of this agreement, the parties agree to submit that dispute to binding arbitration under the auspices of the American Arbitration Association (AAA). If such arbitration is held under the auspices of any other organization, the arbitrations will be held in accord with AAA rules to the extent possible. In any event, venue for such arbitration will be in Dallas, Texas. Binding Arbitration means that both parties give up the right to a trial by jury. It also means that both parties give up the right to appeal from the arbitrator's ruling except for a narrow range of issues that may be appealed under Texas law. It also means that discovery may be severely limited by the arbitrator.

6. Choice of Law and Jurisdiction. In the event of any dispute regarding the representation, including service fees and cost, CLIENT and USDR agree that venue for resolution shall be in Dallas, Texas. Both USDR and CLIENT agree that the laws of the State of Texas shall govern any disputes arising from this contract.

7. Disclaimer of Guarantee. USDR makes no guarantees or predictions as to the outcome of its services, but USDR may give an opinion about possible results supported by historical data gathered by USDR. By signing this AGREEMENT, CLIENT acknowledges that USDR has made no such guarantee, warranty or prediction about the subject of this AGREEMENT or the time frame required to complete the contracted services. CLIENT acknowledges that each case is unique and individual results may vary. CLIENT understands that contracted credit accounts will continue to accrue interest until the accounts are settled. Creditors may impose other penalties as a result of delinquent payments not excluding filing a lawsuit to collect subject debts in the event creditor is unwilling to accept a settlement or CLIENT is unable to propose a settlement acceptable to the creditor. After considering these possibilities, CLIENT wishes to proceed with the terms and conditions of this AGREEMENT.

8. Effective Date of AGREEMENT. This AGREEMENT will take effect as of the date stated in paragraph 1, but its effective date will be retroactive to the date USDR first provided services.

9. All Pertinent Documents Required. CLIENT must submit a complete financial profile to USDR within five days including all correspondence, letters, records, receipts, bills, statements, evidence, legal papers, judgments and anything that CLIENT feels USDR should review in furtherance of CLIENT'S representation.

10. Discharge, Withdrawal, or Rescission. Either party may discharge the other by written notice. CLIENT may rescind this agreement without penalty or obligation at any time before midnight of the 3rd business day after the date on which CLIENT signed the agreement. Please visit the following URL to rescind this agreement: https://www.usdebtresolve.com/clients/rescission_statement.html

11. FEES. Service fees are earned as follows: In accordance with the Federal Trade Commission / Telemarketing Sales Rule. When USDR successfully renegotiates, settles, reduces, or otherwise changes the terms of at least one of the consumer's debts; there is a written settlement agreement, debt management plan, or other agreement between the consumer and the creditor, and the consumer has agreed to it; and the consumer has made at least one payment to the creditor as a result of the agreement negotiated by USDR.
 
Client Initials

 
Date

 
Cosigner Initials

 
Date

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Client/Creditor Relationship Statement

  In entering into this AGREEMENT, CLIENT represents that US Debt Resolve has not, and further understands that USDR shall not take any actions to disrupt the relationship between CLIENT and any creditors or persons with whom CLIENT has an contractual or business relationship. The CLIENT further represents that USDR has not provided CLIENT with any advice or recommendation regarding the advisability of reducing or terminating payments to CLIENT's creditors. CLIENT, independently of USDR, has decided to reduce or terminate payments to creditors and to seek assistance in resolving any outstanding creditor claims, suits, or judgments. Client has engaged USDR for the purpose of negotiating a resolution of said creditors within the AGREEMENT. CLIENT further intends by this AGREEMENT to create a confidential relationship with USDR in regard to resolving any outstanding creditor.

I verify that I have read, understand, and agree with the above Client/Creditor Relationship Statement, and I further agree and understand that USDR has not and shall not take any actions, verbal or otherwise, to disrupt the Client/Creditor relationship. I have engaged USDR for the purpose of negotiating a resolution of said creditors within the AGREEMENT.
 
 
John Doe
Client Name

   
 
 
 
Signature

________________________
Date
 
 
 

Client Name

   
 
 
 
Signature

________________________
Date
 
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