Common use of Required Affirmations Clause in Contracts

Required Affirmations. IF SUBMITTED ELECTRONICALLY: 🞎 I agree that, by submitting this Claim Form, the information in this Claim Form is true and correct to the best of my knowledge. I understand that my Claim Form may be subject to audit, verification, and Court review. I am aware that I can obtain a copy of the full notice and Settlement Agreement at www.[xxxx].com or by writing the Settlement Administrator at the email address [xxxx]@[xxxx].com or the postal address [Address], [City], [State] [Zip Code]. Checking this box constitutes my electronic signature on the date of its submission. IF SUBMITTED BY U.S. MAIL: I agree that, by submitting this Claim Form, the information in this Claim Form is true and correct to the best of my knowledge. I understand that my Claim Form may be subject to audit, verification, and Court review. I am aware that I can obtain a copy of the full notice and Settlement Agreement at www.[xxxx].com or by writing the Settlement Administrator at the email address [xxxx]@[xxxx].com or the postal address [Address], [City], [State] [Zip Code]. Dated: Signature: Settlement Administrator Address (where to send the completed form if submitting by mail): Cardinal Financial TCPA Settlement, c/o , [Address], [City], [State] [Zip Code]. EXHIBIT B UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF FLORIDA Xxxxx Xxxxxx x. Xxxxxxxx Financial, LLC, No 6:18-CV-01851 If you received a telemarketing call from Cardinal Financial, you may be entitled to a payment of up to $51 from a class action settlement. A court authorized this notice. You are not being sued. This is not a solicitation from a lawyer. • Call records indicate that you may be affected by a Settlement1 of a class action lawsuit claiming that Defendant Cardinal Financial (“Cardinal Financial”) violated a federal law called the Telephone Consumer Protection Act (“TCPA”) and the Florida Telephone Solicitations Act (“FTA”). Cardinal Financial denies that it violated the law. • The lawsuit is called Xxxxx Xxxxxx x. Xxxxxxxx Financial Company, Limited Partnership, Case. No 21-cv-2744. Judge Xxxx Xxxxxxx decided that this settlement should be a class action on behalf of a Class, or group of people that could include you, and a Settlement has been reached affecting this Class. • The Settlement offers payments to Class Members who file valid Claims. • Your legal rights are affected whether you act or do not act. Read this notice carefully. YOUR LEGAL RIGHTS AND OPTIONS IN THIS SETTLEMENT: SUBMIT A CLAIM FORM If you are a member of the Class, you must submit a completed Claim Form to receive a payment of up to $51 per claimant, less any approved fees and costs. If the Court approves the Settlement and it becomes final and effective, and you remain in the Class, you will receive payment by check. EXCLUDE YOURSELF You may request to be excluded from the Settlement and if you do, you will receive no benefits from the Settlement. OBJECT Write to the Court and appear at a hearing if you do not like the Settlement. DO NOTHING You will not receive a payment if you fail to timely submit a completed Claim Form, and you will give up your right to bring your own lawsuit against Cardinal Financial about the claims in this case. • These rights and options—and the deadlines to exercise them—are explained in this notice. • The Court in charge of this case still has to decide whether to approve the Settlement. If it does, and after any appeals are resolved, benefits will be distributed to those who submit qualifying Claim Forms. Please be patient.

Required Affirmations. IF SUBMITTED ELECTRONICALLY: 🞎□ I agree that, by submitting this Claim Form, the information in this Claim Form is true and correct to the best of my knowledge. I understand that my Claim Form may be subject to audit, verification, and Court review. I am aware that I can obtain a copy of the full notice and Settlement Agreement at www.[xxxx].com or by writing the Settlement Administrator at the email address [xxxx]@[xxxx].com or the postal address [Address],] [City], [State] [Zip Code]. Checking this box constitutes my electronic signature on the date of its submission. IF SUBMITTED BY U.S. MAIL: I agree that, by submitting this Claim Form, the information in this Claim Form is true and correct to the best of my knowledge. I understand that my Claim Form may be subject to audit, verification, and Court review. I am aware that I can obtain a copy of the full notice and Settlement Agreement at www.[xxxx].com or by writing the Settlement Administrator at the email address [xxxx]@[xxxx].com or the postal address [Address],] [City], [State] [Zip Code]. Dated: Signature: Settlement Administrator AddressSETTLEMENT ADMINISTRATOR ADDRESS (where to send the completed form if submitting by mail): Cardinal Financial TCPAIHP Telemarketing Settlement, c/o , [Address], [Cit] [Statey], [State] [Zip Code]. EXHIBIT B] UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF FLORIDA Xxxxx Xxxxxx x. Xxxxxxxx FinanciaSOUTH CAROLINA CHARLESTON DIVISION XXXX XXXXXXXXX, individually and on behalf of all others similarly situated, Vs. Plaintiff, Case No. 2:19-cv-02993-XXX INDEPENDENT HOME PRODUCTSl, LLC, No 6:18-CV-01851 If you received a telemarketing call from Cardinal Financial, you may be entitled to a payment of up to $51 from a class action settlement. A court authorized this notice. You are not being sued. This is not a solicitation from a lawyer. • Call records indicate that you may be affected by a Settlement1 of a class action lawsuit claiming that Defendant Cardinal Financial (“Cardinal Financial”) violated a federal law called the Telephone Consumer Protection Act (“TCPA”) and the Florida Telephone Solicitations Act (“FTA”). Cardinal Financial denies that it violated the law. • The lawsuit is called Xxxxx Xxxxxx x. Xxxxxxxx Financial Company, Limited Partnership, Case. No 21-cv-2744. Judge Xxxx Xxxxxxx decided that this settlement should be a class action on behalf of a Class, or group of people that could include you, and a Settlement has been reached affecting this Class. • The Settlement offers payments to Class Members who file valid Claims. • Your legal rights are affected whether you act or do not act. Read this notice carefully. YOUR LEGAL RIGHTS AND OPTIONS IN THIS SETTLEMENT: SUBMIT A CLAIM FORM If you are a member of the Class, you must submit a completed Claim Form to receive a payment of up to $51 per claimant, less any approved fees and costs. If the Court approves the Settlement and it becomes final and effective, and you remain in the Class, you will receive payment by check. EXCLUDE YOURSELF You may request to be excluded from the Settlement and if you do, you will receive no benefits from the Settlement. OBJECT Write to the Court and appear at a hearing if you do not like the Settlement. DO NOTHING You will not receive a payment if you fail to timely submit a completed Claim Form, and you will give up your right to bring your own lawsuit against Cardinal Financial about the claims in this case. • These rights and options—and the deadlines to exercise them—are explained in this notice. • The Court in charge of this case still has to decide whether to approve the Settlement. If it does, and after any appeals are resolved, benefits will be distributed to those who submit qualifying Claim Forms. Please be patienDefendantt.

Required Affirmations. IF SUBMITTED ELECTRONICALLY: 🞎 I agree that, by submitting this Claim Form, the information in this Claim Form is true and correct to the best of my knowledge. I understand that my Claim Form may be subject to audit, verification, and Court review. I am aware that I can obtain a copy of the full notice and Settlement Agreement at www.[xxxx].com or by writing the Settlement Administrator at the email address [xxxx]@[xxxx].com or the postal address [Address],] [City], [State] [Zip Code]. Checking this box constitutes my electronic signature on the date of its submission. IF SUBMITTED BY U.S. MAIL: I agree that, by submitting this Claim Form, the information in this Claim Form is true and correct to the best of my knowledge. I understand that my Claim Form may be subject to audit, verification, and Court review. I am aware that I can obtain a copy of the full notice and Settlement Agreement at www.[xxxx].com or by writing the Settlement Administrator at the email address [xxxx]@[xxxx].com or the postal address [Address],] [City], [State] [Zip Code]. Dated: Signature: Settlement Administrator AddressSETTLEMENT ADMINISTRATOR ADDRESS (where to send the completed form if submitting by mail): Cardinal FinancialDivvydose TCPA Settlement, c/o , [Address], [Cit] [Statey], [State] [Zip Code]. EXHIBIT B UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF FLORIDA Xxxxx Xxxxxx x. Xxxxxxxx Financia6 OPT-OUT FORM OPT-OUT FORM Divvydose TCPA Settlement Only use this Form if you want to request exclusion from (i.e.l, LLC, No 6:1opt8-CV-01851 If you received a telemarketing call from Cardinal Financial, you may be entitled to a paymentout) of up to $51 from a class action settlement. A court authorized this notice. You are not being sued. This is not a solicitation from a lawyer. • Call records indicate that you may be affected by a Settlement1 of a class action lawsuit claiming that Defendant Cardinal Financial (“Cardinal Financial”) violated a federal law called the Telephone Consumer Protection Act (“TCPA”) and the Florida Telephone Solicitations Act (“FTA”). Cardinal Financial denies that it violated the law. • The lawsuit is called Xxxxx Xxxxxx x. Xxxxxxxx Financial Company, Limited Partnership, Case. No 21-cv-2744. Judge Xxxx Xxxxxxx decided that this settlement should be a class action on behalf of a Class, or group of people that could include you, and aproposed Settlement has been reached affecting this Class. • The Settlement offers payments to Class Members who file valid Claims. • Your legal rights are affected whether you act or do not act. Read this notice carefully. YOUR LEGAL RIGHTS AND OPTIONS IN THIS SETTLEMENT: SUBMIT A CLAIM FORM If you are a member ofFor more information on the Clasproposed settlements, you must submit a completed Claim Form to receive a payment of up to $51 per claimant, less any approved fees and costs. If the Court approves the Settlement and it becomes final and effective, and you remain in the Class, you will receive payment by check. EXCLUDE YOURSELF You may request to be excluded from the Settlement and if you do, you will receive no benefits from the Settlement. OBJECT Write to the Court and appear at a hearing if you do not like the Settlement. DO NOTHING You will not receive a payment if you fail to timely submit a completed Claim Form, and you will give up your right to bring your own lawsuit against Cardinal Financial about the claims in this case. • These rights and options—and the deadlines to exercise them—are explained in this notice. • The Court in charge of this case still has to decide whether to approve the Settlement. If it does, and after any appeals are resolved, benefits will be distributed to those who submit qualifying Claim Forms. Please be patienplease visit www.[xxx].comt.

Required Affirmations. IF SUBMITTED ELECTRONICALLY: 🞎 I agree that, by submitting this Claim Form, the information in this Claim Form is true and correct to the best of my knowledge. I understand that my Claim Form may be subject to audit, verification, and Court review. I am aware that I can obtain a copy of the full notice and Settlement Agreement at www.[xxxx].com or by writing the Settlement Administrator at the email address [xxxx]@[xxxx].com or the postal address [Address], [City], [State] [Zip Code]. Checking this box constitutes my electronic signature on the date of its submission. IF SUBMITTED BY U.S. MAIL: I agree that, by submitting this Claim Form, the information in this Claim Form is true and correct to the best of my knowledge. I understand that my Claim Form may be subject to audit, verification, and Court review. I am aware that I can obtain a copy of the full notice and Settlement Agreement at www.[xxxx].com or by writing the Settlement Administrator at the email address [xxxx]@[xxxx].com or the postal address [Address], [City], [State] [Zip Code]. Dated: Signature: Settlement Administrator Address (where to send the completed form if submitting by mail): Cardinal FinancialHealth Insurance Associates TCPA Settlement, c/o , [Address], [City], [State] [Zip Code]. EXHIBIT B UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF FLORIDA XxxxxLomas and Xxxxxx x. Xxxxxxxx Financial,v. Health Insurance Associates LLC, No 6:1Civil Action No. 228-CV-01851cv-1564 If you received a telemarketing call from Cardinal Financiapromoting Health Insurance Associatesl, you may be entitled to a payment of up toapproximately $51100 from a class action settlement. A court authorized this notice. You are not being sued. This is not a solicitation from a lawyer. • Call records indicate that you may be affected by a Settlement1 of a class action lawsuit claiming that Defendant Cardinal FinancialHealth Insurance Associates LLC (“Cardinal FinanciaHealth Insurance Associatesl”) violated a federal law called the Telephone Consumer Protection Act (“TCPA”) and the Florida Telephone Solicitations Actwhen telemarketing vendor Leads Mogul LLC (“FTLeads MogulA”) made telemarketing calls to individuals who were on the national Do Not Call Registry, and those calls were forwarded to Health Insurance Associates). Cardinal FinancialHealth Insurance Associates denies that it violated the law. • The lawsuit is called XxxxxLomas and Xxxxxx x. Xxxxxxxx Financial Companv. Health Insurance Associatesy, Limited PartnershiLLCp, Case. No 2221-cv-274cv-15644. Judge Xxxx XxxxxxxXxxxx decided that this settlement should be a class action on behalf of a Class, or group of people that could include you, and a Settlement has been reached affecting this Class. • The Settlement offers payments to Class Members who file valid Claims. • Your legal rights are affected whether you act or do not act. Read this notice carefully. YOUR LEGAL RIGHTS AND OPTIONS IN THIS SETTLEMENT: SUBMIT A CLAIM FORM If you are a member of the Class, you must submit a completed Claim Form to receive a payment of up toapproximately $51100 per claimant, less any approved fees and costs. If the Court approves the Settlement and it becomes final and effective, and you remain in the Class, you will receiveyour payment by check. EXCLUDE YOURSELF You may request to be excluded from the Settlement and if you do, you will receive no benefits from the Settlement. OBJECT Write to the Court and appear at a hearing if you do not like the Settlement. DO NOTHING You will not receive a payment if you fail to timely submit a completed Claim Form, and you will give up your right to bring your own lawsuit against Cardinal FinancialHealth Insurance Associates about the claims in this case. • These rights and options—and the deadlines to exercise them—are explained in this notice. • The Court in charge of this case still has to decide whether to approve the Settlement. If it does, and after any appeals are resolved, benefits will be distributed to those who submit qualifying Claim Forms. Please be patient.