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Home Improvement Agreement: Page 1
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Home Depot License Ws - For the most current listing visit www.Homedet)ot.com/LicenseI
FL: EC0001440, CGC1514813, CRC046858, CAC1813767, CFC1426021, CFC1427642, 22640, CAC 1818831, CCC1331113,
CCC1331130
1(754)224-2090 custom ercancellationsouth@homede
Phone # ei\Mce Provider Email Address
keehn Christopher Ft Pierce 11-1WPSA2UA
Customer Last Name Customer First Name Store # / Branch Name Customer Lead/ PO#
2004 South 35th Street Fort Pierce IFL 34947
Customer Address City State Zip
1(772) 672-0298 1 ijordan.keehn@yahoo.com
Home Phone# Work Phone# Cell Phone# Customer Email Address
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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 IFL 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.
THE LAW REQUIRES T T THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT
TO CANCEL. PLEA E IGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN OAT
AND WRITTEN NO C OF vnUR RIGHT TO CANCEL.
Acknowledged by: 09/06/202
�uV,Kerfs Signature Date
460 Standard Fonn HIA (21 Jul. 21) (E) Generated Date oq / n s l7 n 71 Lead/PO# A - M R S A 7 UA v 0.1.12
Home Improvement Agreement: Page 2
Contract Price: $ 8275.76 Includes all applicable taxes. Excludes finance charges.*
Sales Tax: $ 10.00 (If applicable, total amount of taxes included in Contract Price)
*Maximum deposit ONLY applicable in MD, . 11A, ME (33 Yo), NJ, WI (99 Yo)
X ,,^ - 09/06/202 1
r N to igrnatu�e Date
X /s/ e ome Depot 109/06/2021
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 1-800-466-3337
460 Standard Form HIA (21 Jul. 21) (E) Generated Date �Tn �r7 fl 71 Lead/PO# a _ 1XUP-S9-1 Q--. v 0.1.12