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Addendum No. 6 Addendum No. 7
Recommendations, Offerings, Advice, or Solicitation Privacy Statement
In the course of offering and providing contingent fee deferral solutions, the Payee, may
Payee acknowledges that the information contained in this Agreement, and all be providing to Brook Hollow Financial, LLC, (“Brook Hollow”) personal information,
addendums and exhibits attached to hereto, does not render or offer to render financial, including financial, business and other personally identifying information that may or
investment, tax, legal, fiduciary or accounting advice.
may not be publicly available. This information includes, but is not limited to:
Payee further acknowledges that Kenmare Assignment Company Ltd., does not sell or • Payee’s full name
purport to sell securities, futures, options, or other financial instruments. Nothing herein • The name of the entity with which Payee is associated
shall be considered a solicitation or offer to buy or sell any securities, futures, options or • Physical address
other financial instruments. • Email address
• Phone number
• Certain account, settlement fund information, or other instructions
• Information deemed necessary for account establishment and ongoing relationship
Initials management.
Assignor: _____________ Payee acknowledges that Brook Hollow may be receiving, collecting and retaining,
personal information from Payee, or Payee’s delegates, for the purpose of facilitating and
Assignee: _______ establishing this Non-Qualified Assignment and Release.
Payee: _______ Payee acknowledges that any personal information provided to Brook Hollow may be
shared with third parties, only to the extent necessary to fulfill certain transactions or
provide essential functions necessary the administration of Payee’s account and
relationship with Brook Hollow. Exceptions to this statement include circumstances
where Brook Hollow is required by law to provide personal information to a third party
by court order, request from a governmental agency, or similar legal requirement, or
when personal information is provided to organizations affiliated with Brook Hollow for
management purposes (auditing, accounting, enterprise reporting).
Payee: ______________________
By: _______________________
Title: ______________________
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