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MAINTENANCE PLAN APPLICATION, TERMS & CONDITIONS NEW AND USED VEHICLES REGISTRATION INFORMATION I`, z ,,, Z:, KITTITAS COUNTY SHERIFF I a W LIN 0 0 L N PROTECT Vehlcle Identification Number "VIN" 17 Digits) LLLL M6 K 8 A R 7 H G C 8 7 3 3 2 r Signature Date 07/13/2017 Warranty Start Date 05/30/2017 ❑X Gas/Hybrid Internet Sale IPP Term Current Mileage ❑ Diesel ❑ Yes © No ❑ 0 187 ❑ Electric Surcharges ❑ 12 Month/12,000 Miles (PMP Only - Not applicable for CPO) ❑ CPO ❑ 36 monthsl36,000 miles (Ford and Competitive Make or 48 month/50,000 miles (Lincoln vehicles) (PMP Only - Not Price with Sales Tax applicable for CPO) ❑ Incomplete ❑ Snow Plow (PMP Only - Not applicable for PMP E, PMP L, PMP BL or PMP CPO) 100000 X❑ Specialty - Emergency (fire, ambulance, all police pursuit units (except Ford Police Interceptor)), limo, livery, shuttle, tow E] Medium Duty trucks - (Gas/Hybrid, Diesel and Lincoln Premium Maintenance Plans Only) $ 2905.12 PREMIUM MAINTENANCE PLANS : Gas/Hybrid, Electric, Diesel, Lincoln, Black Label, Incomplete (Cab/Chassis), Medium Duty, CPO - Standard $a Deductible LIMITED, BASIC AND ENGINE MAINTENANCE PLANS : Gas/Hybrid and Diesel- Standard $0 Deductible}_ For Premium Maintenance Plans (PMP) coverage BEGINS at the New Vehicle Limited Warranty Start Date and Zero Miles. Coverage ENDS at THE EARLIER OF the Number of Years Purchased, the Number of Miles Purchased or upon completion of the Maximum Number of Service Intervals Purchased from the New Vehicle Limited Warranty Start Date or Zero Miles. For LIMITED BASIC AND ENGINE Maintenance Plans coverage BEGINS at the Signature Date and Current Mileage. Coverage ENbS at THE EARLIER OF the Number of Years Purchased, the Number of Miles. Purchased or upon completion of the Maximum Number of Service Intervals Purchased from the Signature Date or Current Mileage. PLAN COVERAGE Plan Name Plan Term Plan Expiration (Earlier of) Purchase Sales Tax Total Purchase Address 2 City Longview Months Mileage Date Mileage Price Price with Sales Tax Premium Maintenance 72 100000 05/30/2023 100000 $ 2680.00 $ 225.12 $ 2905.12 Premium Maintenance ❑First Day Rental (Nal applicable on Black Label 2016 Model Maintenance ❑ Full Synthetic Oil (Not applicable on fully Plan Options Years and Prior, Incomplete or Medium Duty Plans) Plan Options Electric, CPO, BMP and EMP) ❑ Pick Up and Delivery Option (Lincoln only -excluding Fleet vehicles) Service Intervals ❑ 3,000" Q 5,000 ❑ 7,500 ❑ 10,000+ Service visits 'Not available on PMP Plans. +only service interval available for PMP Electric 20 DISCLOSURE INFORMATION NOTE: THE PURCHASE OF THIS MAINTENANCE PLAN IS NOT REQUIRED IN ORDER TO PURCHASE, OR OBTAIN FINANCING FOR A MOTOR VEHICLE. 1 acknowled e receipt of a complete copy of this Maintenance Plan (the Application, Terms and Conditions constitute the "Entire Maintenance Plan') at the time of signi"I and agree to, all the terms and conditions. I agree to maintain tile, covered vehicle in accordance with the manufacturer's stat �d periodic maintenance recommendations as a condition o receiving coverage under this Maintenance Plan except as otherwise provided by law. MAINTENANCE PLANIPUK(; Signature (NqWM1k1 w1petitlSignature) Name KITTITAS COUNTY City State Zip Code ELLENSBURG WA 98926 I)FAI 1=RC14IP INF;f)PMATInW Signature Date 9l1sl>-7 Address 307 W UMPTANUM RD E-mail Address Maintenance Plan Lienholder Name NONE Dealership Signature FOR OFFICE USE ONLY Dealer Name Columbia Ford, Inc. Address 1 700 -7th Avenue Address 2 City Longview State WA Zip Code 98632 Telephone No Employee Stars Id P&A Code o 1 s s 1 a 1 2 1 a c 2 4 7 7 5 1 4 ESP 8324 - MNTC (Oct 16) (Previous Editions May Not be Used) L_ J