HomeMy WebLinkAboutSigned ContractHome Improvement Agreement: Page 1
Home Depot License #'s - For the most current listing visit,"w\v.Homedepot.com/LicenseNumbers
FL: EC0001440, CGC1514813, CRC046858, CAC1813767, CFC1426021, CFC1427642, 22640, CAC 1818831, CCC1331113,
CCC1331130
James Smedley
Salesperson Name Registration # (Req. in CA,CT,ME,MD,MI,NJ,DC)
Home Depot U.S.A.'Inc.("Home Depot") or Authorized Service Provider named belov�- will furnish, install and/or
service the equipment listed below at the price, terms and conditions as outlined on this form.
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1. Service Provider Contact Information
The Home Depot
Service Provider Contact Name Service Provider Company Name
Phone # Service Provider Email Address Sevice Provider License #(s)
2. Customer Information
peterson dave Ft Pierce 1-1UVBNMW1
Customer Last Name Customer First Name Store # / Branch Name Customer Lead/ PO#
3605 Crabapple Drive Port Saint Lucie FL 34952
Customer Address Cite State Zip
(781) 296-4633 depson0577@yahoo.com
Home Phone# Work Phone# Cell Phone# Customer Email Address
3. NOTICE OF RIGHT TO CANCEL
YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY
CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE
PROVIDER AT:
customercancellationsouth@homedepot.com
OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
11250 Linton Blvd Delray FL 33444
Address City State Zip
BY MIDNIGHT ON 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 BY LAW IN YOUR STATE.
YOUR PAYMENTS) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME
DEPOT' S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME
:DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE
:SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED
TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN
SHIPMENT AT HOME DEPOT' S EXPENSE.
S T T THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR
THE LAW REQU T ,��T
RIGHT TO CANCEL. L ASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEF GI
:ORAL AND WRITTE TICE OF YOUR RI T TO CANCEL.
Acknowledged by:
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,:.
ust er's Signature
460 Standard Form HIA (02 Oct. 20)(E) Generated Date 0 VU 19. 21 Lead/PO# , _ 1 l 1 V R N U VV 1
Home Improvement Agreement: Page 2
Description of Work to be Performed
A detailed description of the work to be performed is included in the paragraph entitled Scope of Work,
Specification, Customer Summary Sheet, Quote Form, Estimate, Invoice or Measure which is included in this
Agreement.
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5. Anticipated Delivery Date / Installation Schedule
Approximate Start Date: 103/09/2021 1 Approximate Finish Date: 04/06/2021 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.
6. Electronic Records Authorization
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 no charge. By providing your consent and verifying your
email address above, you confirm that you have access to a computer- that can receive and open emails and PDF
documents.
7. Contract Price and Payment Schedule
Payment of the Contract Price is due upon signing unless a different payment schedule is required by laNA7.
specified below or in a payment addendum.
Contract Price: S 9980.84 Includes all applicable taxes. Excludes finance charges.*
- ISales Tax: $ 10.00 1 (If applicable, total arnount of taxes included in Contract Price)
Waximurn deposit ONLY applicable in WDJ .41A,, WE (33%), NJ Tl€'7 (9 9
Deposit % 25.0 Deposit Amount 12495.21 Remaining Balance $ 7485.63
8. Finance Charges
Any interest payments or other finance charges -,Ajill be determined by Customer's separate cardholder or loan
agreement, to which 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 Home Depot.
Insurance proceeds v�7ill will not be used to pay some or all of the total amount of sale.
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9. Acceptance and Authorization
.By signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services 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
or permitting information may need to be provided to You later.) By signing, you acknowledge that: (i) You
have read, understand, and accept this Agreement in its entirety, including the General Conditions and State
Supplement, if any; (ii) You are receiving a complete copy of this Agreement; (iii) all rights and interests under
this Agreement are solely vested in the person listed as "Customer" above; and (iv) Electronic signatures v"7ill be
deemed originals for all purposes.
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X
CLOtornXs Signature
X / /The Home Depot
e Home Depot Digital Signature
Date
01/12/2021
Date
For questions related to your installation, contact Service Provider at
For any other concerns, contact The Home Depot at 1-800-466-333 7
460 Standard Form HIA (02 Oct. 20)(E) Generated Date 7 o21 Lead/PO4 , _ 1 l 1y R N M VV 1 `' 0.1. 8