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Payment Authorization Form <br />DBA: RENEWAL BY ANDERSEN OF INDIANA, OHIO & TENNESSEE <br />Legal Name: Windows, LLC <br />1320 City Center Dr. Suite 350 | Carmel, IN 46032 <br />Phone: (317) 428-2054 | Fax: (null) | info@windowsbyrba.com <br />Marlene Nowak <br />1709 Wayne Street <br />South Bend, IN 46615 <br />Year Built: 1927 <br /> <br /> <br />Marlene Nowak <br />BUYER NAME <br />1709 Wayne Street <br />ADDRESS <br />South Bend <br />CITY <br />IN <br />STATE <br />46615 <br />ZIP CODE <br />( <br />PHONE NUMBER 1 <br />( <br />PHONE NUMBER 2 <br />Nicholas Ritchie <br />SALES REP <br />$33,498 <br />CONTRACT BALANCE <br />PAYMENT SCHEDULE ($33,498) <br />(1) CASH DEPOSIT: 50% Deposit due at time of contract via Cash/ Check/ Credit Card/ or Finance. In most cases, where a finance program is <br />used as the total/ or partial payment method, Renewal by Andersen will request 50% of the total loan amount from the lender immediately upon <br />approval.  <br />(2) CONTRACT SIGN: In most cases, where a finance program is used as the total/ or partial payment method, Renewal by Andersen will request <br />50% of the total loan amount from the lender immediately upon approval.  <br /> <br />(3) INSTALLATION: Final payment is due on the day of installation. If there are any outstanding warranty claims or service items, customer may <br />retain an amount equal to the value of the outstanding item(s) or work to be done, not to exceed 10% of the total purchase price. Due to project <br />changes after Contract Signing, the final payment is subject to change. <br /> <br />BY SIGNING BELOW, I/WE, THE BUYER(S): <br />1. Authorize Renewal by Andersen to initiate debit or credit entries for payments based on the amount(s), form of payment(s), and timing <br />specified in the Payment Authorization Schedule above. <br /> <br />2. Acknowledge that the origination of a ACH transaction or recharging of credit card to Customer's account must comply with the <br />provisions of US Law. <br /> <br />3. Acknowledge that this Authorization is to remain in full-force and effect until Renewal by Andersen has received written notifi cation <br />from the Customer of its termination in such time and manner as to afford Renewal by Andersen and their Depository Institution a <br />reasonable opportunity to act on it. <br /> <br />4. Understand that if there is a change in the set date of a debit or credit entry, Renewal by Andersen must notify the customer minimally <br />7 days in advance. <br /> <br />Marlene Nowak <br />BUYER NAME SIGNATURE <br />02/02/25 <br />DATE <br />02/02/25 Page 7 / 35