CHANGE OF OWNERSHIP
Acceptance Form
Account Holder or Authorized Points of Contact (POC) accepting the Phone Number from the releasing party must complete Section A only, sign and date below.
If moving to a new account, please complete Section B only, sign and date below.
A copy of personal identification (driver’s license, passport or state authorized ID) must be sent with this form.
SECTION A
1.Name of Account Holder or Authorized POC ____________________________________________________________________
2.Billing Address ____________________________________________________________________________________________
3.Account Number __________________________________________________________________________________________
4.Phone Number(s) being accepted ____________________________________________________________________________
5.Contact Number __________________________________________________________________________________________
6.Email address ____________________________________________________________________________________________
SECTION B
1.Billing Name _____________________________________________________________________________________________
2.Billing Address ____________________________________________________________________________________________
3.SSN# ___________________________________________________________________________________________________
4.Contact Number __________________________________________________________________________________________
5.Email Address ____________________________________________________________________________________________
Please read, sign and date below.
I am the Account Holder or Authorized POC. I accept and understand that I will be responsible for paying for all Sprint services associated with the Transferred Numbers provided after the transfer becomes effective.
I acknowledge and agree that the transfer is subject to and conditioned upon: (1) parties releasing and accepting the phone number, each having a valid and existing contract in place with Sprint before the effective date of the transfer; (2) neither party having a past due balance with Sprint; and (3) both parties providing true, accurate and complete information to Sprint as part of the transfer process.
I represent that I am an authorized account owner and have the full right and authority to bind the phone number to the terms contained herein, and agree to (1) release and (2) indemnify and defend Sprint, its directors, officers, employees, agents and their successors from and against all claims for damages, losses, liabilities or expenses, including reasonable attorneys’ fees, that may arise out of this transfer.
Signature of Account Holder or Authorized POC (no electronic signatures)
Signature: _______________________________________________________________________ Date: _________________________
Attach a copy of one of the listed forms of personal Identification to this form:
❑Driver’s License
❑Passport
❑State Authorized Identification
