CHANGE OF OWNERSHIP

Release Form
Account Holder or Authorized Points of Contact (POC) releasing the Phone Number from the account must complete, sign and date this form. A copy of personal identification (drivers license, passport or state authorized ID) must be copied and sent with this form.

SECTION A
1. 2. 3. 4. 5. 6. Name of Account Holder or Authorized POC ____________________________________________________________________ Billing Address ____________________________________________________________________________________________ Account Number __________________________________________________________________________________________ Phone Number(s) being released _____________________________________________________________________________ Contact Number __________________________________________________________________________________________ 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 all Sprint services charged on my Account Number associated with the Transferred Numbers provided after the transfer becomes effective. I am the Account Holder for the above-referenced Sprint account (the "Account") and I am authorizing the following phone number(s) under the Account to be transferred into the Accepting Party's Account. I acknowledge and agree that the transfer is subject to and conditioned upon: (1) Each party involved in the transfer 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 Holder to release Phone Number, have the full right and authority to bind the transferring party to the terms contained herein, and agree that transferring party will (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 of the Phone Number. 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: Drivers License Passport State Authorized Identification