HomeMy WebLinkAboutSigned ContractHome Improvement Agreement: Page 1
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FL:_EC_000144.0, CGC15148131 CRC046858, CAC1813767, CFC1426021, CFC14276421 22640, CAC 1818831, CCC13311131
CCC1331130
Kevin Walsh I �
Sales erson Name Registration # (Req. in CA,CT,ME,NID,MI,NJ,DC)
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Home Depot U.S.A. Inc. "Home Depot") or Authorized 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.
L Service Provider Contact Information
The Home Depot The Home Depot
Service Pr
ovider Contact Name Service Provider Company Name
(754) 224-2090
Phone# Service Provider Email Address Seii,71ce Provider License #(s)
.. .........
....... ...
2. Customer Information
Hunt April 1-1V52BUVW
E:Pierce
Customer Last Na
me Customer First Name Store # / Branch #Name Customer Lead/ PO#
6505 Santa Clara Boulevard Fort Pierce FL 34951
.Customer Address
City State Zip
1(5-85) 353-5298 aprilhuntl32@outlook.com
Home Phone# �Vork 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:
1250 Linton Blvd Delray FL 33444
Ad
dress 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
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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 INSTR TIONS REGARDING RETURN
:SHIPMENT AT HOME DEPOT'S EXPENSE. ,
THE LAW RE U THAT THE O D O G YO A NOTIC XPLAINING YOUR
Q U HAVE BEEN GIVEN
:RIGHT TO CANCEL. L SI E W C EDGE T O
ORAL AND WRITTEN I E F O RIG T T C C L.
02/20/2021
Acknowledged by:
Cu gnature Date
460 Standard Fonu HIA (02 Oct. 20)(E) Generated Date n 7 / 7 n / i n21 Lea&?On 1-1 \/ ri 7 R 111/ �/�/ �' 0.1.9
Home Improvement Agreement: Page 2
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4. Description of:Work to be Performed
d description of the work to be performed is included in the paragraph entitled Scope of Work,
.A detailed p p .
Specification, Customer Summary Sheet, Quote Form, Estimate, Invoice or Measure which is included in this
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Agreement. _ w
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5. Anticipated Delivery Date I Installation :Schedule
..._
Approximate Start Date: 04/17/2021 Approximate Finish Date: [05/15/2021JAll dates are approximate
and subject to change based on unforeseen events including inclement weather; permitting delays, and delays in
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confirming insurance c...... ..overag..... . . ...e 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
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applies to this Agreement and all subsequent documents and written communications related to this Agreement.
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By contacting our Service Provider, you may update your email address, withdraw your consent; or obtain a
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paper co of the Agreement or related documents at no charge. By providing your consent and verifying your
ecopy g to a computer that can receive and open emails and PDF
email address above, you confirm that you have access p
documents.
7. Contract Price and Payment Schedule
Payment of the Contract Price is due upon signing unless a different payment schedule is required by law;
specified below or in a payment addendum.
Contract Price: S 18812.52 Includes all applicable taxes. Excludes finance charges.*
Sales Tax: 0.00 (If applicable, total amount of taxes included in Contract Price)
;; Mai.-cimum deposit O VL I' applicable its VD, A41A, ME (33 %),1\TJ, TVI (99 %)
Deposit % 25�0 Deposit Amount $
4703.14 Remaining Balance $ 14109.38
8. Finance Charges
Any interest payments or other finance charges will 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
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Agreement. Customer is subject to the terms and conditions of the cardholder or loan agi-eement; as applicable. No
funds should be made payable to Set -vice Provider; however, Set-vicer
Provider may collect Customers payments
made payable to Home Depot.
Insurance proceeds will wil... . ... ... .. --1 not be used to pay some or all of the total amount of sale.
. ..... . ..... I ............ .... ............ - ... . ...... _. ... ................. .
9. Acceptance and Authorization
B signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or
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y g b special order merchandise, including special order- merchandise that
(b) order and arrange for the delivery of sp .
ma be custom made ass specified in this Agreement. Do not sign if blank or incomplete. (Set -vice Provider's
y ' p u la B signing, you acknowledge that: (i) You
or permitting information may need to be provided to You y
have read understand and accept this Agreement in its entirety, cluding the General Conditions and State
'(ii)p this A e ent• t�� all rights and interests under
Su lement, if any, You a receiving co lete copy of , (.) ppr on list d s " ustomer" ab : and (iv) Electronic signatures will be
this A ent are e es e
de don •pals fo all p rpo en
LM
m&�Si
Is/ Th6 Home Depot
The Home Depot Digital Signature
102/20/2021
Date
02/20/202�
Date
r questions related to your installation, contact Service Provider at (754)
For q 3 _
For any other concerns, contact The Home Depot at 1-800-466-333 7
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Lead/PO# v o.1.9
460 Standard Fonn HiA (02 Oct. 20)(E) Generated Date n 7�r2 n 2 i-- -