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Moving Packet

US Pro Moving LLC
3894 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.

This proposal is for listed items and services only. Additional items and services may result in additional costs.
Shipper shall be required to pay for all charges prior to unloading in cash or by certified check or money order, except as otherwise agreed in writing between carrier and shipper.
Carrier's Liability for loss or damage shall be based upon the written declaration of the shipper of either Released Value Protection or Full Value Protection.
Carrier and Shipper agree that any additional items or services not included in this proposal and tl1e maximum charges therefor may be set forth in an addendum hereto or a substitute proposal executed by carrier and shipper.

Shipper _____________ Consignee. _____________________ _ Loading Address _______________ Delivery Address __________________ _ City _________ State ___ Zip ____ City _________ .State ____ .Zip ________ _ County _________ Phone _______ County _________ Phone. ___________ _

PROPOSED COST OF SERVICES. Transportation Cost PROPOSED CHARGES

Weight and distance: Tariff ___ No. ofMiles ___ Est. Weight ___ Ib. Moving at􀁗 __ .,.er lb. Trans Charge ______ _
Hourly Rated: Vans ______ Men ______ Esrimated Hours _______ Rate per Hour ________ _

PROPOSED COST OF SERVICES Storage in Transit PROPOSED CHARGES

Storage: Weight. ____ lb. First Day @􀁴 __ ___,per 100 lb.+ Add'! Day(s)@. _ .,__ .er 100 lb. _____ _
1. Extended Valuation:

PROPOSED COST OF SERVICES Other Charges PROPOSED CHARGES

Bulky ltem(s): (1) ____________ $ ____________ (2)____________ $ ____________(3) ____________ $____________
Containers, Packing, unpacking
Labor ______ Man/Men for ____ Hours @ ____ ,.er man/hour
Extra Stop(s). _____________________
Third Party Charges: _____________________
Other Charges/Other Local Charges ________________ _

Shippers Billing Address Packing Date(s)

Pick-up Period

Earliest._ ___

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. ______ _

City/State/Zip Phone

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

article(s)

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 _____________ _

SIGNATURE

MOVING GUIDE

FOR

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.

July 27, 2024.

Bill of Lading #_____

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Signed by Ashauntai Washington
Signed On: September 7, 2023

Timestamp

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September 7, 2023 8:36 am EDT

Moving Packet Uploaded by Ashauntai Washington - info@uspromoving.com IP 70.240.201.215