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Home My WebLink AboutAPPROVED 245.4 Home Improvement Agreement: Page 1 Home Depot License#'s -For the most current listing visit www.Homedepot.com/LicenseNumbers IFL: EC0001440,.CGC1514813, CRC046858, CAC1813767, CFC1426021, CFC1427642, 22640, CAC 1818831, CCC1331113, CCC1331130 Kevin Walsh Salesperson Name Registration # (Req. in CA,CT,ME,MD,MI,NJ,DC) Home Depot U.S.A jnc.("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. 1 Service Providir Contact Information Charlotte Gilbert The Home Depot Service Provider Contact Name Service Provider Company Name i (754) 224-2090 icustomercancellationsouth@homede FL: EC0001440, CGC1514813, CRC046858, CAC1813767, Phone# geof4ice Provider Email Address e ice roil er icense' s UAU 'x.:. �......_........_...._�.... .. _.... ..... . :2. Customer Information ]Hopkins Evelyn Ft Pierce --I 11-1UYJERHJ Customer Last Name Customer First Name Store#/Branch Name Customer Lead/PO# 13475 Old Edwards Road Fort Pierce FL 34981 Customer Address City State zip (772) 201-2940 kim@willisfl.com :.Home Phone4 Work Phone# Cell Phoned Customer Email Address � .. .._. r w:....._�......:..._. ......._.._._..w..: r.:. .. _ :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 -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 PAYMENT(S) 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. THE LAW REQUIRIkS T THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL PL ASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND RITTE TI VV OF YOUR RIGHT TO CANCEL. ,:Acknowledged by: 02/09/2021 stom i ature1 Date 460 Standard Form HIA(02 Oct 20)(E) Generated Date Lead/P01 11.LYJ E8�1.J_ �' 0.1.9 Home Improvement Agreement: Page 2 _ y�4, escr ton l': irk_ 6-b'e�Perform�d:_ _ : 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. A t c� at d l e1" DAte ins la#on:Schedule p w..r3' ,..:...... Approximate Start Date: [F4/06/2021 Approximate Finish Date: 05/04/2021 All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insur...........ance coverage of Y..............................................................our 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 law, specified below or in a payment addendum. Contract Price: $ 1 17817.70 Includes all applicable taxes. Excludes finance charges.* Sales Tax: $ 10.00 (If applicable,total amount of taxes included in Contract Price) Waxrmum deposit ONL Y applicable in_VD, VA,ME (33%), NJ,- 91(99%) Deposi......t 0 25•0 ........De...........posi...........t Amo.................unt$ 4454.43 Remaining...Balance $ 13363.27 18 Fiha'nice 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 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 will will not be used to pay some or all of the total amount of sale. 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 t is Ag ement are solely vested in the person listed as "Customer"above; and (iv) Electronic signatures will be d em . originals for all purposes. X 02/09/2021 Cu omer's Signature Loo J Date X /s/AQ Home Depot 02/09/2021 The Home Depot Digital Signature Date For questions related to your installation, contact Service Provider at (754) For any other concerns, contact The Home Depot at 1-800-466-333 7 460 Standard Form WA(02 Oct.20)(E) Generated Date .0 2..CL94.n 9 i Lead/Po# 1-11J Y!E R H-1 V 0.1.9