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MAINTENANCE PLAN APPLICATION, <br />TERMS & CONDITIONS <br />NEW AND USED VEHICLES <br />REGISTRATION INFORMATION <br />Vehicle Identification Number "VIN" 17 Digi ts_ Signature Date <br />1 F I M 5 1 K I 8 A R 2 I J G B 1 9 8 4 6 06/06/2018 <br />Internet Sale IfIP—�IP Term Current Mileage <br />Yes u No L J �� 10 <br />RECEIVED <br />JUN U 2098 <br />KITTITAS COUNTY SHERIFF <br />Narranty S <br />04/03/2018 <br />$ L I N C O L N <br />PROTECT <br />❑X Gas/Hybrid <br />n Diesel <br />n Electric <br />Surcharges hf 12 Mpnth/12,000 Miles (PMP Only - Not applicable for CPO) [_1 CPO <br />�] 36 months/36,000 miles (Ford and Competitive Make or 48 morith/50,000 miles (Lincoln vehicles) (PMP Only - Not <br />applicable for CPO) R Incomplete <br />Snow Plow (PMP Only - Not applicable for PMP E, PMP L, PMP BL. or PMP CPO) <br />Specialty - Emergency (fire, ambulance, police (except Ford Police Interceptor)), Ilmo, livery, shuttle, tow <br />trucks - (Gas/Hybrid, Diesel and Lincoln Premium Maintenance Plans Only) ❑ Medium Duty <br />PREMIUM MAINTENANCE PLANS : Gas/Hybrid, Electric, Diesel, Lincoln, Black Label, Incomplete (Cab/Chassis), Medium Duty, <br />GPO - (Standard $0 Deductible_)_ <br />LIMITED, BASIC AND ENGINE MAINTENANCE PLANS : Gas/Hybrid and Diesel- (Standard $0 Deductible <br />For Premium Maintenance Plans (PMP) coverage BEGINS at the New Vehicle Limited Warranty Start ate and Zero Miles. <br />Coverage ENDS at THE EARLIER OF the Number of Years Purchased, the Number of Miles Purchased or upon completion of <br />the Maximum Number of Service Intervals Purchased from the New Vehicle Limited Warranty Start Date or Zero Miles, <br />For LIMITED BASIC AND ENGINE Maintenance Plans coverage BEGINS at the Signature Date and Current Mileage. <br />Coverage ENDS at THE EARLIER OF the Number of Years Purchased, the Number of Miles Purchased or upon completion of <br />the Maximum Number of Service Intervals Purchased from the Signature Date or Current Mileage, <br />PLAN COVERAGE <br />T Plan Name Y <br />Plan Term <br />Plan Expiration (Earlier of) <br />Purchase <br />Sales Tax <br />Total Purchase <br />Address 2 �y <br />700 -7th Avenue <br />Months Mileage <br />Date <br />Mileage <br />Price <br />Longview <br />Price with Sales Tax <br />Premium Maintenance <br />Zip Code <br />72 <br />100000 <br />04/03/2024 <br />100000 <br />$ 2680.00 <br />$ 222.44 <br />$ 2902.44 <br />Premium Maintenance <br />First Day Rental (Not applicable on Black Label 2016 Model <br />MaintenanceEl <br />Full Synthetic Oil (Not applicable on fully <br />Plan Options <br />Years and Prior, Incomplete or Medium Duty Plans) <br />Plan Options <br />Electric, CPO, BMP <br />and EMP) <br />[� Pick Up and Delivery Option (Lincoln only -excluding Fleet <br />vehicles) _ <br />Service Intervals <br />F-] 3,000* LJ 5,000 7,500 10,000+ <br />Service visits <br />*Not available on PMP Plans. +only service Interval available for PMP Electric <br />20 <br />DISCLOSURE INFORMATION <br />NOTE: THE PURCHASE OF THIS MAINTENANCE PLAN IS NOT REQUIRED IN ORDER TO PURCHASE, OR OBTAIN <br />FINANCING FOR A MOTOR VEHICLE. <br />1 acknowledge receipt of a complete copy of this Maintenance Plan (the A plication Terms and Condi Ions constitutehe "Entire <br />Maintenance Plan") at the time of signing and agree to, all the terms andpcondi(ioiis, 1 agree to main ain the covere vehicle in <br />accordance with the manufacturer's stated periodic maintenance recommendations as a condition o receiving coverage under <br />this Maintenance Plan except as otherwise provided by law. <br />MAINTENANCE PLAN/PURCHASER <br />Signature (Not Valid without Signature) Signature Date <br />06/06/2018 <br />Name Address <br />KITTITAS COUNTY _ 307 W UMPTANUM RD <br />City State Zip Code E-mail Address Maintenance Plan Llenholder Name <br />ELLENSBURG �WA 98926 <br />I'1P'AI 1=P_QWIP IAI17r)P IAATICIAI <br />Dealership Signature <br />Dealer Name <br />Columbia Ford, Inc, <br />Address 1 <br />Address 2 �y <br />700 -7th Avenue <br />City <br />State <br />Longview <br />WA <br />Zip Code <br />Telephone No <br />98632 <br />Employee Stars Id _ _ <br />P&A Code Y <br />=02] _4271�4 <br />�0 1 a 1 6 0 � <br />FOR OFFICE USE ONLY <br />FPLP 8324 - MNTC (Oct 17) (Previous Editions May Not be Used) <br />L_ J <br />