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Home Improvement Agreement
Home Depot Contractor License Numbers:
AK:25084 AL 45878,1924,22442,24752,03010,2302,51289;AZ:.R00092581,ROC252435:CA:602331;CT:HIC.533772;DC;
420214000109;FL::EC0001440,CGC1514813,CAC1813767,CFC1426021,22640;CAC181883T;GA:RBC0005730,;'EN216765,
RBQA005738 HI:CT-22120,CT 28468,C30305;tD:3662„Q05190,RCE-19683,2302,023559,02887,.020486,20248 IL
058-469244 104017473 Chicago TGC
052654;MA:104510,112785,107774;MD:B5434,,05-42144,,05-42144-01-46,05-42144-01-44,
05=7614,1-01,71589,' 70007 MN :14726.kBC638192,PC147263 PM-093715,.PW093716;NJ:.13VH09277500;NY:Westchester County
WC18484HO6;0Hs 46992;ORs 8556,11827,95843;RL Registered Residential Contractor in:Rhode Island Registiation#9480;TX;
TACLA1574C,.TACLB.14980C,TECL 24447,ME25329,.AL-294818,:LI18140„LI.17862,ME137170,TIC113;M36192,M16451,TRC-0450,
TRC-8.936:WT4195;Master Plumber'Ucense M-16451;VT:28693Cr5501.;VA:2705-068841A;WV:PL1.1329,PL02583,WV036104,Ptease
..visit.http-.Itww.w.horhedepotcorr7rJSV_HS�-Contractor Ucense_Numbe[s for the latest license information
Salesperson Name and Registration Number:
Home Qepot.U.S.A., Inc. ("Home Depot")or Service Provider named below Will furnish, install and/or
service the equipment listed..below at the price,:terms and conditions as outlined on this form.
Customer Information: --{
Miami q19
31a � 'tBmncn arne Lead# � 1
8 C s�: St✓1�e - Pe� L
customer Address Stele ' p
H=W,Ph0ne# Work Phone# ce5 Phoned
f� $pID 3� r►1�, I ..Cann .
tarmr E-ma0
NOTICE OF RIGHT TO CANCEL_YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR
OBLIGATION`BY'DELIVERING WRITTEN NOTICE TO HOME DEPOT AT-
650 0_NW
T-6500_NW 12th.Avenue, .Suite 110: Ft. Lauderdale FL 33309
Address nY state zip
-
or Email CustomerCancellationSouth@homedepot.com
.BY MIDNIGHT .O.N THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
SUPPLEMENT PROVIDES A :different- CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED $Y LAW IN YOUR STATE.
YOUR PAYMENT(S). WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME
DEPOTS RECEIPT .OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR -PICKUP BY HOME
DEPOT OR PROFESSIONAL,AT YOUR SERVICE ADDRESS,AND IN SUBSTANTIALLY-THE SANTE
CONDITION.AS WHEN DELIVERED, ANY MERCHANDISE.OR MATERIALS DELIVERED TO YOU.
OR:YOU MAY CONTACT HOME DEPOT:FOR INSTRUCTIONS;REGARDING RETURN SHIPMENT AT
HOME DEPOTS EXPENSE.
THE LAW REQUIRES THAT THE-CONTRACTOR:GIVE YOU A NOTICE EXPLAINING YOUR RIGHT
TO CANCEL. PLEASE SIGN BELOW'TO ACKNOWLEDGE:
THAT YOU HAVE BEEN GIVEN ORAL
AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL.
Acknovaiedged 6y:
X
- 0�z
u> ..8 .�.
tFm
Customer Care:1.877-467.2581
The Horne Depot-2455 Paces.Farry Road,N.W.Bldg,8-3,Aflarft,Georgia 50339
A' tr�n.or�cn0
Contract,Price and PaymenLSche 1q Payment of the Contract Price is due upon completion unless:
a different payment schedule is specified in the State Supplement.
Includes all applicable discounts, rebates, and ,taxes.
Contract Price a, s-�v�Excludes finance charges.*
���, �
Minimum %deposit.$ Due Immediately
Remaining balance $ Due upon completion
Finance Charges_
*Any interest,payments or other finance charges will,be determined by Customer's separate cardholder
or loan agreement, to which The Home Depot is NOT a party, and will be in addition to Customer's
payment_under this Agreement..Customer is subject to the terms and conditions of the cardholder or
loan.agreement, as applicable. No funds:-should be made payable.to Service Provider; however, Service
Provider may collect Customer's payments) made payable to The Home Depot.
Insurance proceeds will 11 will not❑be,used to pay some or all of the total amount of sale.
17escript on_af Wv__rk Lobe,Performed:
Installation of
A more detailed description of the work to be performed is included in the section entitled Scope of Work
which appears on page !of this Agreement.
Anticipated_Delivet� Date/.Installation_Schedule:
Approximate Start Date: Approximate Finish Date:_
All dates are 'approximate and subject to change based on unforeseen.events including inclement
weather, permitting delays., and delays`in confirming insurance coverage of Your claim for any repair, if
applicable.
Electronic RecordsAuthorization: You are entitled to a paper copy of this Agreement if you choose. If
YOU consent to an e-mailed copy, your consent applies to this Agreement and all subsequent documents
and written communications related to this agreement. By contacting your Service Provider, you may
update your email address, withdraw your consent, or obtain a paper copy of the Agreement or related
documents at charge. By providing yourconsent and verifying your,email address above, you confirm
that you.have.,access to a computer that can receive and open emails and PDF documents.
By initialing this paragraph, I consent to receive only electronic records related to this transaction.
^� Initial
Acceptance_and Authorization; By signing.below, you authorize Home Depot to (a) arrange for Service
Provider to perforin Installation and/or(b)order and arrange for the delivery of special order merchandise,
including special order merchandise that may be custom made,.as specified in this Agreement. Do not sign
if blank or Incomplete. (Service Provider's/permitting information may need to be provided to You later,)
By signing,.you acknowledge that you have read, understand, and accept this Agreement.in its entirety,
including the General Terms, and Conditions and. State Supplement, if any. You further acknowledge
receiving a coinv%
Ncopy of this Agreement. Keep it to protect your legal rights.
Customer's.Signature - Date
XLStgrrorpLappliwbto) Qaie
Sates Con•ultent'n.Slgnature �^ --- i Late
Customer Care.1-877-467-2561.
The Home Depot-:2455 Paces Ferry Road,N.W.Bldg.B-3,Atlanta,Georgia 30339
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