Sale Without Legal Warranty Disclosure Form
Please complete this form to acknowledge and confirm the sale of an item or service without legal warranty coverage. All information is required for proper disclosure and record-keeping.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Sale Item or Service Description
*
Sale Reference / Order Number
*
Seller Name or Business Name
*
Purchase Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Warranty Disclosure Type
*
Please Select
No written warranty
As-is sale
Limited warranty only
Seller provides no warranty
I acknowledge and confirm that I have read and understand that this sale is made without legal warranty coverage.
*
I have read and understand the disclosure.
Signature / Full Name Confirmation
*
Submit
Submit
Should be Empty: