Payment Information and Authorization:

All payments will be addressed to Modification Center in the form of a wire transfer. Upon sending this agreement, you must pay promptly by wiring the initial retainer for us to begin negotiating on your behalf.

Below is the Payment Arrangement:

Total Charges due $_____________________________

Amount to be Paid & Wired upon execution of contract (1st payment) $____________________

Total amount to be paid by Checks $_____________________________

1^st Check -_______________Date:__________

2^nd Check – ______________Date: __________

3^rd Check -_______________Date:__________

4^th Check – _______________Date: __________

Wire Instructions:

Bank Name: Fifth Third Bank

11710 Martin Luther king Jr. Blvd

Seffner, Fl 33584

Modification Center, LLC

ROUTING # 042000314

ACCOUNT # 7420638921

________________________________________________

Print Name

Auth. Signature____________________________________ Date________________________

PLEASE BE SURE AND FAX THE WIRE CONFIRMATION TO 813-514-6415