| (3)__The discounted present value of those payments | together with the discount rate used in determining | that discounted present value; |
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| (4)__The gross amount payable to the payee in exchange | for the payments; |
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| (5)__An itemized listing of all brokers' commissions, | service charges, application fees, processing fees, | closing costs, filing fees, administrative fees, legal | fees, notary fees and other commissions, fees, costs, | expenses and charges payable by the payee or deductible | from the gross amount otherwise payable to the payee; |
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| (6)__The net amount payable to the payee after | deduction of all commissions, fees, costs, expenses and | charges described in subparagraph (5); |
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| (7)__The quotient, expressed as a percentage, obtained | by dividing the net payment amount by the discounted | present value of the payments; and |
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| (8)__The amount of any penalty and the aggregate amount | of any liquidated damages, inclusive of penalties, | payable by the payee in the event of any breach of the | transfer agreement by the payee; |
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| C.__The payee has established that the transfer is necessary | to enable the payee, the payee's dependents or both to avoid | imminent financial hardship, and the transfer is not | expected to subject the payee, the payee's dependents or | both to undue financial hardship in the future, except that | if a federal hardship standard was in effect at the time the | payee and the transferee entered into the transfer | agreement, in lieu of the foregoing finding the court or | responsible administrative authority must make an express | finding that the transfer qualifies under that federal | hardship standard; |
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| D.__The payee has received independent professional advice | regarding the legal, tax and financial implications of the | transfer; |
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| E.__If the transfer would contravene the terms of the | structured settlement: |
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| (1)__The transfer has been expressly approved in | writing by: |
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