HomeMy WebLinkAboutSigned Contracte
Nome Improvement Agreement: Page I
Home Depot License #'s - For the most current listing visit w-ww.Homedepot.com/LicenseNumbers
FL: EC0001440, CGC1514813, CRC046858, CAC1813767, CFC1426021, CFC1427642, 22640, CAC 1818831, CCC1331113,
CCC1331130
Lyndon Jackson
Salesperson Name Registration # (Req. in CA,CT M.E,MD,MI,NJ,.DC)
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.
1 Service IP ro *i'a"er Contact Information
The Home Depot The Home Depot
Service Provider Contact Name Service Provider Company Name
(754) 224- icustomercancellationsouth@homede I IFL: EC0001440, CGC1514813, CRC046858, CAC1813767,
Phone # 98MOR Provider Email Address§e&10NdVi'd-eY-ffc4?n'sifCAC IS '
� ' Customer Information
}
Isullivan Ilann Ft Pierce 11-1XCDL30D
Customer Last Name Customer First Name Store # / Branch Name Customer Lead/ PQ#
17202 Paso Robles Boulevard Fort Pierce FL 34951
Customer Address City State Zip
(401) 222-0960 lannies-1 8@hotmaii.com
Home Phone# Work Phone# Cell Phone# Customer Email Address
............. .............................,.............................. _ . __ _ ... .
3,,. NOTIC'E 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:
icustomercancellationsouth@homedepot.com
OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
1250 Linton Blvd Delray FL 133444
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 REQUIRES THAT THE HOME DEPOT GIVE YOU
AND WRITTEN NOTO CANCEL. PL �IQEI� YOUR RIGHT TO BELOW TO �ANC�GE
Acknowledged by
A NOTICE EXPLAINING YOUR RIGHT
THAT YOU HAVE BEEN GIVEN ORAL
111/11/2021
Date
460 Standard Form HIA (21 Jul. 21) (E) Gencmted Date a /� i1 Lead/POY# 1-1 X.f_ n1 30 n - v 0.1.12
Home Improvement Agreement: Page 2
........ ...... ........} .................................... __ .. _ __...... ................... ....... ...
4, 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.
.......... ... ........ ............... .............. .............................. ..
5. Antic* At+ed Delivery Date / Installation Schedule
Approximate Start Date: 05/10/2022 Approximate Finish Date: 06/09/2022 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.
.... .. .....
. Electronic 1eeor+ds 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 th.. ............. * ................. . ....... . ....at you have access to....... * .................. *** ..... a ........ .comput........ ..er that can..... . ... .......... ...... receive and open emails an................. ............ .............................. ..... ........................... ...........d PDF........ . .... ... docum..................... .......ents.
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: $ 17562.00 Includes all applicable taxes. Excludes finance charges.*
Sales Tax: $ 4.00 If applicable, total amount of taxes included in Contract Price)
*11aximam deposit 0,/VL Y applicable in MVID,1WA, jVE (33Yo), iVJ, W1(99%)
Deposit % 125.0 - Deposit Amount $ 11890.5 Remaining Balance $ 5671.50
r:....k �..H...,........ - :::: s...
_.
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
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. ot.
................ .................. ............. ................. ... .... ..... .. ...
1
9: Acceptnce 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; (*H**) 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 will be deemed originals for all purposes.
F
The Home Depot Digital Signature
111/11/2021
Date
11/11i2021
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 7 224-2090
460 Standard Form HIA (21 Jul. 21) (E) Gcnemted Date iyi lg n ? 1 Lead/PO# 1-1 Xf'�C�L �,..�CL v 0.1.12