6730 Care plan - Laserfiche WebLink

Home Browse Search

NATIONAL VEHICLE SERVICE CONTRACT APPLICATION, TERMS & CONDITIONS (Ali Vehicles up to and Including Transit and F 550 series) REGISTRATION INFORMATION TI. NCO LN PROTECT Vehicle Identification Number Signature Date 12/28/2015 Warranty Start Date 03/25/2015 ❑CPO 1 F I M 1 5 K 8 A R 9 F G C 1 fi 7 3 0 Internet Sale ❑ Yes ® No Current Mileage 2,987 Current Hours* IPP Term ❑ ❑ incomplete(cab/Chassis) Plan Expiration - (Earliest of all 3) Date Mileage Hours* Purchase Price I SalesTax Total Purchase Price with SalesTax Surcharges: ❑ 12Months/12,000 Miles ❑ Turbocharger/Supercharger ❑ Snowplow ® Commercial Use ❑Limo/Livery Wrap ® Specialty -Emergency(Fire, Ambulance, Police pursuitunits -except Ford police Interceptor), Limo, Livery, Shuttle, Tow Truck) ❑Component Wrap (Non -CPO) New rlan LOverage ; Lore. rowertralnLAHt, Ha5el.AHE, LxtraCAHL, PremiumCARE (Standard DedOctible Is $100) LeaseCARE -New Prem!UMCARE with Wear Items on Ford and Lincoln vehicles - (Standard Deductible is SO) Rental Care - (RentaICARE- Standard Deductible is $0) Super Duty Coverages -(Diesel EngineCARE, Diesel EngineCARE Plus - Standard Deductible is $100) Used Plan Coverage: Core (PowertrainCARE, BaseCARE, ExtraCARE, PremiumCARE -Standard Deductible Is $100) PLAN COVERAGE ® New Plan ❑ Used Plan Plan Name Deductible Plan Term Months Mileage Hours* Plan Expiration -(Earliest of all 3) Date Mileage Hours* Purchase Price SalesTax Total Purchase Price with SalesTax PremiumCARE $0 60 100,000 State 0325/2020 100,000 Service Contract Lienholder Name $ 2,495.00 $ 199.60 $ 2,694.60 Options ❑ First Day Rental Delete ❑ Enhanced Rental ❑ Interior/Exterior Lighting Delete Plan Name Deductible Plan Term Months Mileage Hours* o Plan Expiration - (Earliest of all 3) Date Mileage Hours* Purchase Price I SalesTax Total Purchase Price with SalesTax Columbia Ford, Inc. Address 1 Address 2 700 -7th Avenue $ Is $ Options ❑ First Day Rental Delete ❑ Enhanced Rental ❑ Interior/Exterior Lighting Delete *Super Duty Coverages and Incomplete Vehicle Plan Coverages require Current Hours and Expiration Hours for all vehicles with an hour meter. Total $ 2,495.00 $ 199.60 $ 2,694.60 DISCLOSURE iNFO IMAI IIJN THE PURCHASE OF THIS AGREEMENT IS NOT REQUIRED IN ORDER TO PURCHASE, OR OBTAIN FINANCING FOR A MOTOR VEHICLE. YOU MAY PURCHASE THE SERVICE CONTRACT BY CASH OR UNSECURED CREDIT CARD. IF YOU ELECT TO PURCHASE THIS AGREEMENT, IT GIVES YOU SPECIFIC LEGAL RIGHTS, WHICH MAY VARY FROM STATE TO STATE. I acknowledge receipt of a complete copy of this Application and the Terms and Conditions (the "Entire Ac reement'7 at the time of sianino and agree to all the terms and conainons. I agree to maintain the covered vehicle in accordance with the manufacturer's stated periodic maintenance recommerrdations as a condition of receiving coveraae under this Agreement except as otherwise orovided by law. Mississippi Residents Only: By signing below, I agree to Washington Residents Only: By initialing this box, I acknowledge I have reviewed with Dealer the the binding arbitration language in the Mississippi Section. on of this Service Contract titled, What This Agreement Covers and What is Not Covered, Your Responsibilities for Care of the Vehicle, Implied Warranty of Merchantitlbility and Your and Our Rights Signature (not valid without Signature) to Cancel Agreement. CF RVIrC rnIMTR arT LJnl IICR I of loru aeoo Signature (Not Valid without Signature) Signature Date Original Signed by: STEVE PANATTONI 1228/2015 Name Address KITTITAS COUNTY 307 W UMPTANUM ROAD City State Zip Code E-mail Address Service Contract Lienholder Name ELLENSBURG WA 98926 NA DEALERSHIP INFORMATION Dealership Signature Original Signed by: JENNIF CASTLE Dealer Name Columbia Ford, Inc. Address 1 Address 2 700 -7th Avenue City State Longview WA FOR OFFICE USE ONLY Zip Code Telephone No 98632 Em to ee Stars Id P&A Code 0 0 2 1 5 4 9 9 6 0 1 8 1 6 0 2 ESP 8240 -Nat App/Provs (Oct 15) (Previous Editions May Not be Used)