US Pro Moving LLC3894 Wake Forest Rd, Decatur Georgia 30034 678–832-8587 ESTIMATED COST OF SERVICES
GDPS / HHG 9328
Bill of Lading #_____
Proposed charges set forth below are BINDING AND GUARANTEED for the items listed for ______ days from date hereof: SEE IMPORTANT NOTICE BELOW.
Proposed charges set forth herein are NOT TO EXCEED. Actual charges shall be detennined after all services have been completed but shall not exceed the amount set forth below under "Maxtrnum Charges Not to Exceed". SEE IMPORTANT NOTICE BELOW.
Shipper _____________ Consignee. _____________________ _ Loading Address _______________ Delivery Address __________________ _ City _________ State ___ Zip ____ City _________ .State ____ .Zip ________ _ County _________ Phone _______ County _________ Phone. ___________ _
PROPOSED COST OF SERVICES. Transportation Cost PROPOSED CHARGES
PROPOSED COST OF SERVICES Storage in Transit PROPOSED CHARGES
PROPOSED COST OF SERVICES Other Charges PROPOSED CHARGES
Shippers Billing Address Packing Date(s)
Delivery Period TOTAL PROPOSED CHARGES
Earliest___ MAXIMUM BINDING CHARGES
Latest _ ___ Latest ___ MAXIMUM CHARGES NOT TO EXCEED _________
PROPOSED COST OF SERVICES Valuation PROPOSED CHARGES
10. □ Released Value □ Replacement Value
Requested Amt. $_ _______@ . ______p er $1000.00 or fractionthereof
Estimator _________ Date _____ _
Shipper Date _____ _
Issuing Agent. ________ MCA No. ______ _
THIS FORM IS PRESCRIBED BY THE GEORGIA DEPARTMENT OF PUBLIC SAFETY
GDPS MRT/HHG NO. 4
ADDENDUM TO UNIFORM HOUSEHOLD GOODS BILL OF LANDING
SHIPPER DECLARATION OF VALUE
IMPORTANT: There are two (2) options available to cover loss and/or damages:
OPTION I: Released Value Protection. This option provides for reimbursement for loss or damage at a rate of$0.60 per
pound per article. This option is included in the Transportation and there is no additional CHARGE. Carrier
shall have the option of repairing and/or restoration to the original condition.
OPTION 2: Full Value Protection. This option provides coverage based on current replacement value at the time of loss
or damage, up to the dollar amount of valuation declared by you (See Note). The cost is based on the actual
value of the goods, and the Deductible, if any, declared by you. Carrier shall have option of repairing and/or
restoration to the original condition.
** DECLARATION **
Prior to the move the shipper must select one of the options listed below. If shipper refuses to select one of these options, the
carrier will not be required to perform the move.
Shipper hereby releases the entire shipment to a value not exceeding:
_____________ Option 1 - (RELEASED VALUE) - $0.60 per pound per article
SIGNATURE OF SHIPPER & DATE (based solely upon the weight of the lost or damaged
at no additional charge.
____________ Option 2(a) -(REPLACEMENT VALUE) -(See Note)
SIGNATIJRE OF SHIPPER & DATE $ _______ with no deductible at a charge of$14.30
per thousand ($1,000) of declared value. This would result m
an additional charge of$ _______ _
____________ Option 2(b) -(REPLACEMENT VALUE)-(See Note)
SIGNATURE OF SlilPPER & DATE $ _______ with a $300.00 deductible at a charge of
$4. 70 per thousand ($1,000) of declared value. This would result
in an additional charge of$ ______ _
NOTE: Must be an amount equal to or exceeding $5,000 per room excluding halls, attics, garage,
closets, and baths. A self-storage unit of 10 x 10 will constitute a room.
This document shall be completed and signed PRIOR TO MOVE and made a permanent part of the Bill of Lading.
If Carrier fails to require shipper to choose one of the above Liability Options, the shipper will be considered to have chosen 2(a)
(Replacement Value, no deductible) at no charge to the shipper.
BILL OF LADING/ORDER NO: _______ DATE: _____ _
NAME OF SHIPPER _______________ _
( ) HOURLY RATED MOVE ( ) WEIGHT & DISTANCE MOVE
CARRIER REPRESENTATIVE _____________ _
HOUSEHOLD GOODS MOVES IN GEORGIA
GEORGIA MOVING GUIDE LINK
I acknowledge that I am in receipt of the Moving Guide For Household Goods Moves In Georgia.
October 4, 2023.
Leave this empty:
Your legal name
Your email address
Signed by Ashauntai Washington
Signed On: September 7, 2023
If you have questions about the contents of this document, you can email the document owner.
Document Name: Moving Packet
Agree & Sign