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Execution VersionDISAFFILIATION AGREEMENT PURSUANT TO 2553 This DISAFFILIATION AGREEMENT PURSUANT TO 2553 (the Disaffiliation Agreement) is entered into this 12th day of April, 2023, by and between
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01
To fill out a disaffiliation agreement with Mount Shepherd, follow these steps:
02
Obtain a copy of the disaffiliation agreement form from Mount Shepherd.
03
Read the agreement carefully to understand the terms and conditions.
04
Fill in your personal information accurately, including your name, address, and contact details.
05
Provide the reasons for disaffiliation and any supporting documentation if required.
06
Review the completed form to ensure all information is correct and complete.
07
Sign the agreement in the designated space.
08
Make a copy of the signed agreement for your records.
09
Submit the filled-out disaffiliation agreement to Mount Shepherd by the specified method or address.
10
Follow up with Mount Shepherd if you do not receive any confirmation or response within a reasonable time.
11
Keep a copy of any correspondence or acknowledgement received from Mount Shepherd for future reference.

Who needs disaffiliation agreement- mount shepherd?

01
Anyone who wishes to terminate or dissolve their affiliation with Mount Shepherd would need a disaffiliation agreement. This could include members, partners, or individuals who have previously established a formal affiliation with Mount Shepherd through a contract, agreement, or membership. It is important to consult with Mount Shepherd or legal professionals to determine if a disaffiliation agreement is necessary in each specific situation.
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A disaffiliation agreement at Mount Shepherd is a formal document that outlines the terms and conditions under which an individual or organization separates from a previously established association with the institution.
Individuals or organizations that wish to disassociate from Mount Shepherd are required to file a disaffiliation agreement.
To fill out the disaffiliation agreement, one must provide personal or organizational details, the reason for disaffiliation, and any other relevant information as specified by Mount Shepherd's guidelines.
The purpose of the disaffiliation agreement is to provide a structured process for separation, ensuring that all parties understand their rights and responsibilities post-disaffiliation.
The disaffiliation agreement must report information such as the name of the individual or organization, contact details, reasons for disaffiliation, and any pertinent dates.
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