Request for CSA Addendum - Add a Payment Plan

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Payment Plan Form

Company Name(Required)

Signer Name(Required)

Email Address on Your Account With Us(Required)

Enter your address that we have been using to contact you with.

Mobile Phone(Required)

Phone # on Account

Payment Type(Required)

What payment option would you like to use for each payment submitted to us?

Credit Card (Under 5k)

ACH Option (Single Payment Over 5k)

Wire Option (Single Payment Over 5k)

First / Last Name on Credit Card(Required)

Persons Name, not Business Name

Credit Card Number(Required)

This card will be used each time

Expiration Date(Required)

For Day, please just enter 1, Then Month and Year

CCV(Required)

Credit Card Billing Address(Required)

Street Address City State ZIP Code

ACH Option (via Melio)

ACH has no fee, but it requires 5 days to process, which may cause late payments.
Bookmark this link to Melio: Melio Payment to AssetBull

Failure to pay will result in 18% late fees, legal fees, and reapplication fees.

Scroll down for the rest of this application.

Wire Option

For Security Reasons, this information is private.

You'll be contacted by your AssetBull representative once the form is accepted and given instructions on how to submit the wire.

Failure to pay will result in 18% late fees, legal fees, and reapplication fees.

Scroll down for the rest of this application.

Payment Terms Requested

Amount Owed?(Required)

Amount Owed According to Invoice.

Initial Payment?

Example: $10,000

Per Payment Amount to Deduct?(Required)

How much do you want to pay each time?

Payment Intervals(Required)

Weekly Deductions (Mondays)

Weekly Deductions (Fridays)

Monthly Deductions (1st of Month)

Monthly Deductions (15th of Month)

Monthly Deductions (28th of Month)

Note on Payment Plan Term Length:
• 0 to 12 months: interest waived.
• 12 months up to 24 months: 18% interest.
• 24 + will not be accepted.

Payment Plan Estimator

Term (months)	Total	Monthly	Notes

Additional Notes (if Needed)

Acknowledge and Sign

PAYPLAN ADDENDUM TO CLIENT SERVICES AGREEMENT

This PayPlan Addendum to Client Services Agreement (“Addendum”) is entered into by and between AssetBull (DBA of New Shoes Enterprises, LLC) (“Company” or “the Company”), Not Yet Entered, representing Not Yet Entered (“Client”), as Not Yet Entered, and Not Yet Entered (“Guarantor”).

Effective Date:

1. Purpose and Authorization
This Addendum modifies the original Client Services Agreement (“Agreement”) executed between the Company and the Client. The Client authorizes the Company to electronically debit the account designated in this application and, if necessary, to electronically credit the account to correct any erroneous debits. The Client agrees that all ACH and credit or debit transactions authorized herein comply with applicable United States banking laws and regulations. This authorization remains in effect until the full payment obligation under this Addendum has been satisfied, or until written notice of revocation has been provided to the Company with at least thirty (30) business days’ notice. This payment authorization and the associated Addendum are pending review and formal approval by the Company’s management. No plan is binding until confirmed in writing by the Company. A typed or electronic signature has the same legal effect as a handwritten signature under the United States E-Sign Act of 2000.

2. Balance Owed
The total amount owed to the Company as of the Effective Date is Not Yet Entered (“Principal Balance”).

3. Interest
So long as payments are made in a timely manner, interest shall accrue on the unpaid Principal Balance at rate of 18% per annum, simple non-compounding, until paid in full. In the event a payment is not made in a timely manner, default interest shall accrue on the principal amount at the rate of 36% per annum.

4. Payment Terms

Principal balance: Not Yet Entered
Initial payment: Not Yet Entered
Payment timing: Not Yet Entered
Installment amount: Not Yet Entered
Payment method: Not Yet Entered
Interest Rate (if applicable): Not Yet Entered
Total of payments (estimated): Not Yet Entered

The Company will notify Client if it approves the repayment plan requested, after it verifies the amounts are correct and the repayment timeline and terms are acceptable.

5. Default and Remedies
If any payment is more than ten days past due, the remaining balance becomes immediately due with accrued interest and collection costs.

6. Legal Costs
Client will pay all reasonable attorneys’ fees and costs incurred by the Company in enforcing this Addendum.

7. Governing Law and Venue
Arizona law governs. Venue is the Maricopa County Superior Court.

8. Entire Agreement
All other terms of the original Agreement remain in effect. This Addendum supersedes any oral or written representations regarding payment extensions or interest.

9. Personal Guarantee

The Guarantor hereby unconditionally, absolutely, and irrevocably guarantees to the Company the full and prompt payment and performance of all obligations of the Client under this Agreement, including without limitation the payment of the Settled Balance and, in the event of an Event of Default, the Net Amount Owed to the Company (collectively, the “Guaranteed Obligations”). This is a guarantee of payment and performance and not merely of collection.

The Guarantor’s obligations under this guarantee are primary, direct, and immediate and not conditional or contingent upon pursuit of any remedies against the Client or any other person. The Guarantor waives: (a) notice of acceptance of this guarantee and of any liability to which it applies or may apply; (b) presentment, demand for payment, protest, notice of dishonor or nonpayment of any such liabilities; (c) all other notices and demands to which the Guarantor might otherwise be entitled; (d) any requirement that the Company exhaust any right or take any action against the Client or any other person; and (e) any defense based on or arising out of any defense of the Client, including without limitation any defense based on any claim that the Guarantor’s obligations exceed or are more burdensome than those of the Client.

The Company may, without notice to or consent of the Guarantor and without affecting the Guarantor’s obligations hereunder: (i) compromise, settle, renew, extend, accelerate, or otherwise change the time for payment or performance of, or otherwise modify, the terms of the Guaranteed Obligations or any part thereof; (ii) take and hold security for the payment and performance of the Guaranteed Obligations and sell, exchange, release, surrender, realize upon, or otherwise deal with in any manner and in any order any property pledged or mortgaged to secure payment of the Guaranteed Obligations; (iii) release or substitute any one or more endorsers, guarantors, the Client, or other obligors; and (iv) exercise or refrain from exercising any rights against the Client or others or otherwise act or refrain from acting.

Guarantor agrees that the Guarantor’s obligations under this guarantee shall continue to be effective or be reinstated, as the case may be, if at any time any payment of any of the Guaranteed Obligations is rescinded or must otherwise be returned by the Company upon the insolvency, bankruptcy, or reorganization of the Client, or otherwise. This guarantee shall remain in full force and effect until all Guaranteed Obligations have been fully paid and performed, and shall be binding upon the Guarantor and the Guarantor’s heirs, executors, administrators, successors, and assigns.

Submission Summary

Company: Not Yet Entered
Client Name: Not Yet Entered
Client Title: Not Yet Entered
Guarantor: Not Yet Entered

Client Signature (image): {Signature:43}
Guarantor Signature (image): {Signature:56}

This Addendum is submitted by the Client and is subject to the Company’s final review and approval. Approval will be communicated by email or phone. No countersignature is required.

Scroll to the bottom of the Addendum above to unlock the required acknowledgment checkbox below. Checkbox unlocks after fully scrolling.

Note: The checkbox in the signature area is required and only unlocks after you reach the bottom of this Addendum.

Note: The Checkbox above ↑ is mandatory, and can only be clicked after you scroll to the bottom of the addendum above.

Signing Date

Position Title(Required)

Such as CEO, President, ETC

Full Name Signer(Required)

Signer for Payment Plan Application

Guarantor Name Signer(Required)

This can be the same person as Full Signer Name

Signature(Required)

Signer for Payment Plan Application

Guarantor Signature(Required)

This can be the same person as Full Signer Name