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MAINTENANCE PLAN APPLICATION, <br />TERMS & CONDITIONS <br />NEW AND USED VEHICLES <br />REGISTRATION INFORMATION <br />RECEIVED <br />JUN 0 `t 2018 *00$ LINCOLN <br />KITTIIAS COUNTY ylDySHERIFF PROTECT <br />ACCOUNTING <br />Vehicle Identification Number "VIN" <br />=1F M 5 K 8 A R 0 <br />17 Digits) <br />J G B 1 M9 8 4 5 <br />Signature Date <br />06/06/2018 <br />Warranty Start Date <br />04/10/2018 <br />Q GaslHybrld <br />Internet Sale <br />IPP Term <br />Current Mileage — <br />F] Diesel <br />0 Yes EX] No <br />EJ <br />to <br />F] Electric <br />Surcharges ❑ 12 Month/12,000 Miles (PMP Only - Not applicable for CPO) <br />36 months/36,000 miles (Ford and Competitive Make or 48 month/50,000 miles (Lincoln vehicles) (PMP Only - Not <br />El CPO <br />applicable for CPO) <br />EI Snow Plow (PMP Only - Not applicable for PMP E, PMP L, PMP BL or PMP CPQ) <br />[:] Incomplete <br />Specialty - Emergency (fire, ambulance, police (except Ford Police Interceptor)), limo, livery, shuttle, tow <br />trucks - (Gas/Hybrid, Diesel and Lincoln Premium Maintenance Plans Only) <br />0 Medium Duty <br />FKtIVIIUM MAIN I tNANGt PLANS : Gas/Hybrid, Electric, Diesel, Lincoln, Black Label, Incomplete (Cab/Chassis), Medium Duty, <br />CPO - (Standard $0 Deductible <br />LIMITED, BASIC AND ENGIN MAINTENANCE PLANS: Gas/Hybrid and Diesel- (Standard $0 Deductible <br />For Premium Maintenance Plans (PMP) coverage BEGINS at the New Vehicle Limited Warranty Start ate and Zero Miles. <br />Coverage ENDS at THE EARLIER OF the Number of Years Purchased, the Number of Miles Purchased or upon completion of <br />the Maximum Number of Service Intervals Purchased from the New Vehicle Limited Warranty Start Date or Zero Miles, <br />For LIMITED BASIC AND ENGINE Maintenance Plans coverage BEGINS at the Signature Date and Current Mileage. <br />Coverage ENDS at THE EARLIER OF the Number of Years Purchased, the Number of Miles Purchased or upon completion of <br />the Maximum Number of Service Intervals Purchased from the Signature Date or Current Mileage, <br />PLAN COVERAGE <br />Plan Name <br />Plan Term <br />Plan Expiration (Earlier of) <br />Purchase <br />Sales Tax <br />Total Purchase <br />Address 2� <br />700 -7th Avenue <br />Months Mileage <br />Date Mileage <br />Price <br />State <br />price with Sales Tax <br />Premium Maintenance <br />72 <br />100000 <br />04/10/2024 <br />100000 <br />$ 2680.00 <br />$ 222.44 <br />$ 2902.44 <br />Premium Maintenance <br />First Day Rental (Not applicable on Black Label 2016 Model <br />Maintenance <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 />_ <br />[] 3,000* L^1 5,000 7,500 10,000+ <br />Service visits <br />*Not available on PMP Plans, <br />+only service interval available for PMP Electric <br />20 <br />U15C:LU5UKt INI-UKMA 1 ION <br />NOTE: THE PURCHASE OF THIS MAINTENANCE PLAN IS NOT REQUIRED IN ORDER TO PURCHASE, OR OBTAIN <br />FINANCING FOR A MOTOR VEHICLE. <br />l acknowledge p <br />receipt of a complete copy of this Maintenance Plan (the A plication, Terms and Conditions constitute the "Entire <br />Maintenance Plan) at the time of signing and agree toall the terms andco/ldltions. 1 agree to maintain the covered vehicle in <br />accordance with the manufacturer's stated periodic maintenance recommendations as a condition of receiving coverage under <br />this Maintenance Plan except as otherwise provided by law. <br />MAIN I tNANC:t FLAN/FUKGHA5tK <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 Lienholder Name <br />ELLENSBURG LWA 98926 <br />r)I=Al 1=0QWlD IKICPIRYIAATIr%KI <br />Dealership Signature <br />Dealer Name <br />Columbia Ford, Inc. <br />Address 1 <br />Address 2� <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 <br />0 0 z 7 5� 1 4 <br />s 6 0 <br />FOR OFFICE USE ONLY <br />FPLP 8$24 - MNTC (Oct 17) (Previous Editions May Not be Used) <br />�— J <br />