HomeMy WebLinkAboutHOME INPROVEMENT AGREEMENT Home Improvement Agreement: Page 1
Home Depot License#'s - For the most current listing visit www.Hornedel2ot.com/LicenseNumbers
FL: 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.,Inc.("Home Depot") or Authorized Service Provider named below will furnish, install and/or
set-vice the equipment listed below at the price, terms and conditions as outlined on this form.
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1. Service Provider Contact Information
The Home Depot The Home Depot
Service Provider Contact Name Service Provider Company Name
(754) 224-2090
Phone# Service Provider Email Address Service Provider License#(s)
2. Customer Information
WHITNEY MICHELLE Ft Pierce 1-1VFTAFDD
Customer Last Name Customer First Name Store#/Branch Name Customer Lead/PO#
7905 James Road I Fort Pierce FL 34951
Customer Address City State Zip
i
(772) 579-3543 1 wizard4863@gmail.com
;Home Phone# Work 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 I 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 REQU S T T THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR
RIGHT TO CANOE P EASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN
ORAL AND WRITTE OTICE O OUR RIGHT TO CANCEL.
Acknowledged by: 03/30/2021
us er's Signature Date
460 Standard Fonn H[A(02 Oct.20)(E) Generated Date D3/gn19n21 Lead/PO4 1-n VFIAED.D v 0.1.9
Home Improvement Agreement: Page 2
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,4* 1)escr1pt on of 6rk_to he 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.
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5.An$rcipated Delivery:Date I:Installation-:-Schedule
.-
Approximate Start Date: F05/25/2021 Approximate Finish Date: [061222/2021 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.
M....r....... ..
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.
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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: $ 17167.95 Includes all applicable taxes. Excludes finance charges.*
Sales Tax: 0.00 (If applicable, total amount of taxes included in Contract Price)
*Maximum deposit ONLY applicable in MD, MA,ME(33%o"),AU, WI(99%)
o
eposit /o De .posit Amount 12875.96
.. ...... ......emaintng Balance
99
8:�Finiance 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 parry, 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 Set-vice 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.
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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
(nae read, understand, and accept this Agreement in its entirety, including the General Conditions and State
plement, if any; (ii) You are receiving a complete copy of this Agreement; (iii) all rights and interests under
Agreement are solely vested in the person listed as "Customer" above; and (iv) Electronic signatures will be
med originals for all purposes.
x 03/30/2021
ust mer's Signature Date
X /s/The Home Depot 03/30/2021
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 7 224-2090
460 Standard Fonn HiA(02 Oct.20)(E) Generated Date 0-q/q 0 12 021 Lead/PO# '_1 NIFTAF D D V 0.1.9