DeCarlo & DeCarlo, Inc.

SERVICE CONTRACT

To schedule service please fill in the following information and have the appropriate parties sign below.

Fax to (813) 949-7771

Full address of property to be serviced:  (Must be filled out)

_________________________________________________________________________________________________________________________

Address                                                                    City                                                         State                                        Zip

Company requesting service: _____________________________________________________

Contact person or persons: ______________________________________________________

Phone and fax #s: ______________________________________________________________

Party(s) Responsible for payment: (Must be filled out completely)

Seller’s Name:_______________________________________________________________

Address:______________________________________________________

City, State, and Zip: ___________________________________________________________

Phone and fax #s:_____________________________________________________________

Signature: ___________________________________________________________________

and/or:

Buyer’s Name:______________________________________________________________

Address:______________________________________________________

City, State, and Zip: ___________________________________________________________

Phone and fax #s: _____________________________________________________________

Signature: ___________________________________________________________________

Method of payment: (Must select one method below. Credit card or check or paying at time of closing)

Name as it appears on credit card: ______________________________________

Credit card account #: ______________________________     Expiration date: ______________

CVV # (3 or 4 digit security #): ____________    $__________________  amount to be charged

I authorize the above payment: ____________________________________________      or

Certified check/Money order #: ______________________________________       or

If paying at time of closing.

I agree to pay DeCarlo & DeCarlo Inc. for services performed to the abovementioned at time of closing:

Title Co.: ___________________________________________________________________

Title contact person: ___________________________________________________________

Phone: _________________________ Fax:  _________________________ (required)

Projected closing date: __________________________________________________

Authorized By: ________________________________________________________

Before work will be scheduled we will need these items completed (circle if completed)

1.) Property Appraisal         2.) Survey            3.) Loan Approval         

If not on city water/sewer or if it is not located in a mobile home park we will ALSO need the following:

          1.) Well Certification                2.) Septic Inspection

In case of default and the abovementioned property does not close. (Must be completed by current owner of property)

     I _____________________________ understand that I am ultimately responsible for payment of services provided by DeCarlo & DeCarlo Inc. to the abovementioned property. I also understand that non-payment for services rendered to the abovementioned property may result in a Lien against the property or collection agency proceedings.

     By signature below I am stating that I am fully aware that damages may occur to skirting that is not removed and re-installed by buyer/seller of property along with any plants/bushes/items around the perimeter of the home and will hold DeCarlo & DeCarlo, Inc. harmless and not liable for repair or replacement.

    To the best of my knowledge, all information I have provided above is true. I have read and fully understand and agree to all terms of this contract.

Signature: _______________________________________________________ Date: ____________

Witness:________________________________________________________ Date: ____________