HomeMy WebLinkAboutWork OrderPalm Harbor Villages, Inc. # 126 605 S. Frontage Rd., Ste. C, Plant City, FL 33563 11/13201512:".14 PM
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INSURANCE
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-'MODEL YEAR MM NLMM #1
LABELDEQALNUMBERS WORSERIALNUMBERS FLOORSEM
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3451 d/
EXTENDED SERVICE CONTRAC;r
LENDER PREPAID FINANCE CHARGES
TOTAL
CASH PRICE
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NETALLOWANCE
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TYPE OF INSULATION
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TOTAL t3MYW
Model: Year.Serial# Bedrooms: Size
Title# Color:
Payoff Amount:
TRADE•INDEBTTOBEPAIDBY: BUYSt SELLER
SALES TAX (If not included above)Make:
LOAN AMOUNT lcehiding
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LESS LENDER PREPAID FINANCE CHARGESLienHolder.
UNPAID BALANCE OF CASH SALES PRICE
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Mthis contract requires the ordering of services which inclu but are not limited to, an appraisal
title search, survey, pac M p� site inspections, and soil test, Itwe agree to pay for such
services by�them witiifieid from my/our deposrt. Ilwe understand tint once such services
have been payment for them am non-refimdable.
Initial Initial
Price includes normal delivery within 50 miles. House cat, extra miles blocadng not included and
will be determined at site inspection.
on f r s ern hall
to ce c
NOTICE, &%Wgq
NOM; SEEwABBAxnr EXCLUSIONS AND LUMATIONS OFDAMAGES ON PAGE FOUR
THISPON31SNTCONTdaVSTHEF.NMVME&ST.WIMB67iMWYOUAWAEANDNO02MRRPRIrMTd7IONORINDUC EV7SPOJ=ORWBrMWEASOMAIMEWAIMISNOTCONTADM
RVYTiISCOMRICT.
Yoo and I r that the addltloaal teti md oom7ldom prlarod os dl pqn of tlib eantraet are auaed a asput d trb speNtMek lie ,ame n B printed a6ave *e dgedum A%r (Our) pmehne of the
naaorearad home r.aaatns opttoaal egidp+aeu and aeenwrta, lawwan, eta r vdaWq ua a,y tra b hre orBem, e:eept o noted.
Palm ):larbor V7lages. Inc. DMO41496/1 UUzrnWWNArune: -- — Ir
Remne.. t�nAsl
Retailer Lleturse 0Bbthdate: 63 a 1 y4,7Drlt�e,1 License # a StW1 off / l; f l 8 /
Date
Not Valid Unless Slgned and Aooeptedby the l$aAerdt Men�eraf(he Sales ldentihed ADoss
Aaaepted By : DM.' CO -BUYER SIGNATURE:
Printed Name: �O@ P@gLll$flOt' License it Birthdale: DnWrs License # 6 State: Date
This sales Umsaadon has involved d negownons between Sella sadBuyer(s). The BM)
s
admowledge and egrae fiat this co �tsapr raedea jcamPletalY reFleoee) vl Puior oontr-W IW gala, if
any, wbieh Seller andBayer(s) bave signed poor to tern date. CoWgU O2011 PWm HaborYdlogn Eao. AQ Rights Rmmvad.
074 documern-edited-.xfml Last Revised On: 5/13201511:48:08 AM
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