Owner Signature. Date: CM Signature: Date:
Owner Signature. Date: CM Signature: Date: SLIP RENTAL TERMS AND CONDITIONS
Owner Signature. Name: Title: PET OWNER Date: THE PET NANNY Signature: Name: Title: The Pet Nanny Date: EXHIBIT B EMERGENCY CONTACT LIST Emergency Contact No. 1: Name: Phone No.: Emergency Contact No. 2: Name: Phone No.: Emergency Contact No. 3: Name: Phone No.: EXHIBIT C VETERINARY RELEASE Veterinarian Name: Business Address: City, State, Zip: Phone Number: Dear , The Pet Nanny will be caring for my Pet(s) [names] beginning on the date below. The Pet Nanny will attempt to contact me as soon as medical care is deemed necessary. However, if I cannot be reached immediately, I hereby authorize you to treat my Pet(s) and confirm that I will be responsible for payment of any such emergency treatment on my return. I authorized charges up to: $ . If the above-named veterinarian is not available, I agree that another veterinarian in his or her veterinary group may provide the treatment described above. If neither of these veterinarians is available, or if emergency care is needed after regular veterinary office hours, I give permission for The Pet Nanny to take my Pet(s) to the nearest animal hospital or emergency clinic. I understand that The Pet Nanny assumes no responsibility for the loss of any Pet and release The Pet Nanny from all liability related to transportation, treatment, and expense. My pet(s) have the following health issues: . I [ do / do not ] agree to authorize said veterinarian to euthanize my Pet in extreme circumstances under his/her advisement after all reasonable attempts have been made to reach me. This release is valid from the date below and grants permission for future veterinary care without the need for additional authorization each time The Pet Nanny cares for my Pet(s). I understand that this release applies to all of my Pet(s) in The Pet Nanny’s care. By signing this release, I agree that I have the sole authority to make health, medical, and financial decisions regarding the Pet(s). Owner Name (printed): _ Owner Signature: Date: EXHIBIT D PET INFORMATION SHEET Complete separate sheet for each pet PET INFORMATION Name Age Breed Color/markings Sex: Male Female Weight/size: Rabies Tag No. Date rabies shot expires: Microchipped Yes No History of illness Yes No Pet Licensed Yes No Microchip ID #: Spayed/Neutered Yes No License ID #: FEEDING Permitted types of food: Feeding times: Amount per feeding: Special feeding instructions? Please describe in detail. EMERGENCY CARE Veterinarian Name: Address: Phone No. Emergency Clinic Name: ...
Examples of Owner Signature in a sentence
Cooperative: Managing Agent: Unit Owner: Signature: Signature: Signature: Name: Name: Name: Date: Date: Date: XXXXX CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 00/00/0000 PRODUCER FAX * NAME AND ADDRESS OF INSURANCE CARRIER THIS CERTIFICATE ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
Owner Signature Date Co-Owner Signature Date PLEASE NOTE: APPLICATIONS WILL BE PROCESSED IN THE ORDER IN WHICH THEY ARE RECEIVED.
Printed Owner Name (First, Middle, Last) Printed Joint Owner Name (First, Middle, Last) Mailing Address (if different from service address) Mailing Address (if different from service address) City, State, Zip City, State, Zip Phone Number Phone Number Owner Signature Joint Owner Signature Date Date Main valve inside is off.
Captain: First Mate: Player/Rider (circle one): Player/Rider: Player/Rider: Player/Rider: Owner Signature: Date: Operator: Date: Check payable to BBBSCVA (Big Brothers Big Sisters of Central VA), 0000 Xxxxxxxxx Xx., Xxxxxxxxx, XX 00000 Check # Amount: Date: If you prefer to pay by credit card, go to our secure website, xxx.xxxxxx.xxx/xxxxxxxx.
More Definitions of Owner Signature
Owner Signature. Date: Owner Signature: Date:
Owner Signature. Pet’s Name: _________________________
Owner Signature. Date: Owner Signature: Date: Contractor Signature: Date: 3 FHA 203(k) Home Owner - Contractor Agreement Form 2420 Rev. 1/5/05
Owner Signature. Date: Photo/Video/Audio/Artwork Recording Filename(s): Location of photo/video/audio recording/artwork: Name of Person Accepting Work Submission:
Owner Signature. Date: Owner Signature: Date: Contractor Signature: Date: 3 FHA 203(k) Home Owner - Contractor Agreement Form 2420 Rev. 1/5/05 Loan #: Borrower: MMC FHA 203K Limited Contractor Selection Info You have applied for a FHA 203K Limited loan. One of the requirements of this program is that you are limited to 3 individual contactors, or you may select a General Contractor (required if 4 or more contractors are needed). You must select these Contractors. Neither the Lender nor its employees can refer you to a specific contractor. It is your responsibility to select the contractor(s), and to check the work and references of the contractor you select. Below are some tips to assist you in choosing a contractor: ⮚ Check with the Better Business Bureau to see if any claims have been filed against the contractor. ⮚ Get a list of Homeowner references from the contractor, and then call them to see if they were satisfied with the contractor’s work and completion time. ⮚ If possible, go to existing jobs the contractor may have in progress or has just completed to check the work yourself ⮚ Ask the contractor to provide you with a copy of his/her Builder’s Risk and/or General Liability Insurance. It is impossible to ensure that no problems will arise with the contractor during the renovation process. However, the above items may help minimize any problems that may occur. Once you have selected your contractor(s), you must provide the following to your Loan Officer about each contractor: ⮚ Copy of current builder license (including all subs) or if no license required in applicable state, county or town, other data which shows contractor earns a living as a contractor (contractor resume) ⮚ Homeowner/Contractor Agreement fully executed (completely filled in and signed by all parties) ⮚ Copy of Contractor’s Insurance (General Liability $500,000 required for all subs as well) listing borrower’s name(s) and subject address. ⮚ Notice to Contractor ⮚ Contractor Profile form ⮚ Contract Proposal broken down into materials and labor, signed and dated by all parties. Additionally you will be required to provide a Work Plan listing all the repairs being done, signed and dated by all borrowers. Should any problem arise after the completion of the renovation and final inspection, you will need to contact your contractor directly. I hereby acknowledge that I have read and understand the above information and I acknowledge the responsibility of choosing my contractor for my 203K Limited Loan....
Owner Signature. Date: DPRC-SI Signature: Date: Contractor Signature: Date: October 2014 (Rev. April 2019)
Owner Signature. Date: / / Drop Off Date: / / Pick Up Date: / /