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�-------------- =--- ------ � ro__ - - �L��z � ��,%�i��-� ��0 f � , RESIDENTIAL SERVICES CONTRACT I�III��UIIII�NIIII� i ��—Q�� 5104UE14 � r " CONTRAR ' I � DA� � � CUSTOMER 106 LEAD ACCOUNT NO NO�SOURCE� � I � • • • i ADT Security Services,Inc("ADTh � Office Address Curtomer Name � � �� j("Customv'or'I'or'me"or`my') � � .�'�f uaG� : . � V_t ST�� G' ; � � -C f77/s��-1 L°�� Premises � I Address � �� i y��7ry,� � j �� �� State W � ( ` �l-3.z98 7�� . �P � IT� 1�/ � Tax Exempt No. Tax Expire Date LLy I I V m � www.MyADT.com � � 1.800.ADT.ASAP� �Protected Premises' - � O Traditiawl Phone o Offier (1.800238.2727) 7elephone - (Qualifie� O Otlier(Non-Qualifre� � Altemate O Home O CeA O Work Alte,rnate `1 _ Telephone 1 _ Telephone 2 O Home O Cell O Wwk I �1 � O Fill in if bi(ling address is the same � C�` I �Billing � i Address � � � �' I, }��y}�� 1 �� State,�{�J ZIP� I `,�� IF FAMIUARIZATION PERIOD IS REJECTED INITIAL HERE � � (see Paragraph 14 of the Terms and Conditions for explanation) � � ; \ EMAIL I � i Communicatiorts Authorization:I authorize ADT to provide me with information and updates about the security syrtem and new ADT and third-party � products and services to the coMact information provided by me.I may unsubsvibe or opt out by emai�ing donotcontactaADT.com or by wiling i 888.DNC4ADT(8$8362.4238).Initial here � � Confirmation of Appointments:I authorize ADT to call me using an automated talling device to deliver a prrrecorded message to seVconfirm I appointmenu and provide other information and notices about the alarm � system at the telephone number(s)provided by me.Initial here � � Alarm 5 � +� ystemOwnership: OCustomer-Owned C*AOT-Owned � � I 1 ACKNOYYLEDGE AND AGREE TO EAGH OP THE FOLLOIMNG:(!�7HI5 CONTRACT CONSISTS OF SIX(6)fAGES.BEFORE SIGNING THIS CONTRACL I � � �`j HAVE READ,UNDERS7AND AND AGREE TO EAGH AND EVERY TERM OF THIS CONTRACT,INCLUDING BUT NOT LIMl1'ED TO PARAGRAPHS 5 AND 18 OF j �� THE TERMS AND CONDRIONS.(B)THE INITIAI TERM OF TH15 CONTRACT IS THREE(3)YEARS.(G�ApT IS NOT A SENRITY CONSULTANT AND CANNOT ; �Y �r ApDRE55 ALL OF MY POTEHRIAL SENRITY NEEDS.ADT HAS EXPWNED TO ME THE FULL RANGE OF EQUIPMENT AND SERVICES THAT qDT CAN � � PROVIDE ME.ADDITIONAL EQUIPMENT AND SERVICES OVER THOSE IDENTiFIED IN THIS GONTRACT ARE AVAJLABLE AND MAY BE PURCHASED FROM � 1 ADT AT AN ADDITIONAL.COST TO ME I HAVE SELECfED AND 7URCHASEp ONLY THE EQUIPMENTAND SERVI�S IDENTIHED IN THIS CONTRAC7(D)NO � i-- � ALARM SYSTEM CAN PROVIDE COMPIFTE PpOTECiION OR GUARANTEE PREVENTiON OF LO55 OR INJURY.FlRES,FLOODS,BURGLARIES,ROBBERIES, � ^� MEDICAL PROBLEMS AND OTHER INODENTS ARE UNPREDICTABLE AND CANNOT ALWAYS BE DETECTED OR PREVE►i'IED BY AN ALAp(y�SYSTEM. ��J �� HUMAN ERROR IS ALWAYS POSSIBLE,AND THE RESPONSE TIME OF POLICE,FIRE AND MEDICAL EMERGENCY pERSONNEL t5 OUTSIDE THE CONTROL 1 OF ADT.ADT MAY NOT RECEIVE ALARM SIGNALS IF COMMUNIUTIOMS OR POWER IS INTERRUP'TED FOR ANY REASON.(E)ApT RECOMMENDS THAT f � � MANUALLY�TEST�IiE Ak,�1RM SY57ElII M�THLY AND�NY T1ME I CHANGE TELF,PHpNE SERVICE,BY CALUNG 1.SOO,ADTASAp OR BY LOGGING IN.TO, i � ��,J W W W.MYADT.COM.(�THIS CONiIiACT R QUIRES FIN /CppROY/�L BY ANI1pTAUfHORIZED MANAGER BEFORE ADT MAY PROVIDE ANY EQUIPMFNT ', �O OR SERVICES,AND IF APPROVAL IS DENIFD,THEN THIS CONTRAR VYILL BE TERMINATED,AND ADTS ONLY OBLIGA710N WILL BE TO N0T1FY ME Op :� � � SUCH TERMINA710N AND REFUND ANY AMOUNT51 PAID W ADVANCE. ,I \ ADT Rep aentati Name '� � �_ �I � b Rep.License No. R�P_ ,�l -T ;� � � pf Require� ID N�. �V+'�'� � � Customer's Approval:Orlginal Siynatura Required(Must match CusOOmer Name in Seeion 1 above} � �� X �— � ' I 1 � NOTiCE OF CANCELLATION i _ \ 1,THE CUSTOMER,MAY CATICEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINE55 DAY � (�� AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATfON FORM FOR AN EXPLANATION � Of THIS RIGHT.I ACKNOWLEDGE BEING VERBALLY INFORMED OF MY RIGHT TO CANCEL AT THE TIME OF EXECUTION � OF THIS CONTRACT AND RECEIPT OF THIS NOTICE. � � � . � i i FINANCIAl,DISCLOSURE STATEMENT � THERE IS NO FINANCE CHARGE OR COST OF CREDR(0%API�ASSOCIATED WITH THtS CONTRACT, I i ! I A.NUMBER OF / � PAYMENTS FOR THE B.AMOUM OF EACH PAYMENT IS � i T�TAL OF PAYMENTS FOR THE INITWL TERM�5 � 1 ` INITIAL TERM IS 36. (TOTAL MONTHLY SERVICE'CHARGE FROM BELO ��a�MES B.)(EXaUSNE OP ANY APPLICABLE TAXE ,FEES,flN � �AND RATE INCREASESJ � LATE QiARGE-PAYMENT IS DUE PURSUANT TO MY SELECTED&WNG I FREQUENCY,PRIOR TO THE START OF SERVICE.MY�FIRST BIWCHARGE W[LL PREPAYMENT-IF I PREPAY THE �SEE SECTIONS 2,7,15 AND I BE SENT/MADE SHORTLY AFTER MY SERVIGE BEGINS.ADT MAY IMPOSE A 70TAL OF PAYMENTS PRIOR TO 19 OF THIS CONTRACT FOR I ONE-T1ME LATE aIARGE ON EACH PAYMENT THAT IS MORE 7HAN TEN(90) THE END OF THE iN177AL TERM ADDRIONAL 1NFORMATION I DAYS PAST DUE,UP TO THE MA70MUM AMOUNT PERMI7TED BY LAW,BUT IN �OF THIS tOMRACT,THERE IS NO 'ABOUT NONPAYMENT,DEFAULT j NO EVENT YVILL THIS AMOUNT EXCEED 55.00. �PENALTY OR REFUND. I AND ACCELERATION. � , ' I I I l of 6 � Administrative Copy 02071 ADT All.�o�..k.�,�d.�a�� I