Cancellation / Refund Form

Cancellation / Refund Form

The BEST in CENTRAL TEXAS
Primary Contact Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Down Payment Amount *
Date Payment Made *
How did you pay?*
Refund and Cancellation Policy:
If the homeowner decides to cancel the project after signing the agreement, a 25% cancellation fee will be applied. This fee covers administrative costs, project planning, scheduling, and any materials or labor already allocated to the project.

Refunds for payments made will be issued after deducting the 25% cancellation fee and any additional costs incurred by Texas HomePro LLC for work performed or materials purchased up to the cancellation date. Texas HomePro LLC reserves the right to issue refunds within 15 business days of receiving the written/emailed cancellation notice.
Date of Birth *
Primary Contact Signature*

Powered by Jotform SignClear
Date Requested*

MonthDayYear
DateHourMinutesAM/PM Option
Location Coordinates*

You may use this sample notice to cancel. Simply fill it out, sign it, and send it using one of the methods listed above.
CANCELLATION NOTICE
Date: ___________________________
To: Texas HomePro LLC
401 W Bus 190
Copperas Cove, Texas 76522
I/We hereby cancel the transaction for home improvements at the following property:
Property Address: ___________________________________________
Contract Date: ___________________________
Owner Name(s): ___________________________________________
Signature(s): ___________________________________________
Date Signed: ___________________________
IMPORTANT WARNINGS
DO NOT Sign This Notice If:
You do not own the property described in the contract
The property is not your principal dwelling (primary residence)
You do not understand your cancellation rights
You have questions about this notice or your rights
Contact Us With Questions:
If you have any questions about your right to cancel, contact:
Texas HomePro LLC
Phone: (512) 540-4050
Email: office@texashomepro.org
You may also wish to consult with an attorney before signing.
LEGAL AUTHORITY
This Notice of Right to Cancel is provided pursuant to:
Federal Truth in Lending Act - 15 U.S.C. § 1635
Regulation Z - 12 C.F.R. § 1026.23
Texas Business & Commerce Code - Chapter 601 (Home Solicitation Sales)
Texas Finance Code - Chapter 346 (Deceptive Trade Practices)
ACKNOWLEDGMENT OF RECEIPT
I/We acknowledge that:
I/We have received two (2) copies of this Notice of Right to Cancel.
I/We understand that I/we have the right to cancel this transaction within three (3) business days.
I/We understand how to calculate the three (3) business day period.
I/We know how to cancel this transaction if I/we choose to do so.
I/We understand that if I/we cancel within the three (3) business day period, I/we will receive a full refund and any lien on my/our home will be void.
I/We have been provided with the online cancellation form link: https://form.jotform.com/250145763122146
I/We have been given contact information for Texas HomePro LLC if I/we have questions.
I/We understand my/our rights and obligations under this notice.
OWNER SIGNATURE(S): DIGITAL SIGNATURE ON JOB TREAD
Primary Owner:
Signature: _________________________________________ Date: ______________
Printed Name: _________________________________________
Co-Owner/Spouse (if applicable):
Signature: _________________________________________ Date: ______________
Printed Name: _________________________________________
FOR OFFICE USE ONLY
Transaction Date: ___________________________
Date Notice Provided to Owner: ___________________________
Cancellation Period Expires: ___________________________
Method of Delivery:
☐ Hand Delivered
☐ Email (with read receipt)
☐ Certified Mail, Return Receipt Requested
☐ Electronic via JobTread/JobNimbus/JotForm
Delivered By: ___________________________
Received By: ___________________________
RETAIN THIS NOTICE
Keep one copy of this notice for your records. You have until the cancellation deadline shown above to cancel this transaction without penalty.
TEXAS HOMEPRO LLC
401 W Bus 190
Copperas Cove, Texas 76522
Phone: (512) 540-4050
Email: office@texashomepro.org
Online Cancellation Form:
https://form.jotform.com/250145763122146
This form complies with federal Truth in Lending Act (15 U.S.C. § 1635), Regulation Z (12 C.F.R. § 1026.23), and Texas Business & Commerce Code Chapter 601 requirements for notice of right to cancel home improvement transactions involving a lien on the borrower's principal dwelling.
Should be Empty: