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MAINTENANCE PLAN APPLICATION, TERMS & CONDITIONS NEW AND USED VEHICLES REGISTRATION INFORMATION ® I s LINCOLN PROTECT Vehicle Identification Number ("VIN") (17 Digits) Signature Date Warranty Start Date ® Gas/Hybrid 1 I F I M 1 5 1 K 1 8 1 A I R 1 2 1 F I G I C I 1 1 fi 1 7 1 212/28/2015 9 Plan Options CP Incomplete Plans and Medium Duty) Service Intervals Service visits ❑ 3,000* 5,000 ❑ 7,500 ❑ 10,000* 20 'Not available on PMP Plans. *only service interval available for PMP Electric 03/25/2015 Internet Sale Current Mileage ❑ Diesel ❑ Yes ® No 3124 ❑ Electric Surcharges F—]12 Month/12,000 Miles(PMP Only- Not applicable for CPO) El CPO ❑ Snow Plow (PMP Only- Not applicable for PMP E, PMP L, PMP BL or CPO) ❑Incomplete ® Spedalty-Emergency (fire,ambulance,all poiice), Ilmo, livery,shuttle, tow trucks- (Gas/H rid, Diesel and Lincoln Premium Maintenance Plans Onl ) ❑Medium Duty ooewwu uw swwu,Tvw,nu�� .. .LL,ILVL: r�nrv� vasrnyuno, crean 0 Dc, Diesel, Lincoln, tSiacK Label, Incomplete (Cab/Chassis), Medium Duty, CPO - (Standard $eductible) 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 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 Signature Date or Current Mileage. PLAN COVERAGE Plan Name Plan Term Months Mileage Plan Expiration (Earlier of) Date Mileage 9 Purchase Price I Sales Tax Total Purchase Price with Sales Tax Premium Maintenance Zip Code 98632 72 100000 03/2512021 100000 $ 2,480.00 $ 198,40 $ 2,678.40 Premium Maintenance Plan Options ❑First Day Rental (Not available on lncom leteor P Maintenance ❑ Full Synthetic Oil(Notavailable on Lincoln, Black Label, Electric, Medium Du Plans) 4' Plan Options CP Incomplete Plans and Medium Duty) Service Intervals Service visits ❑ 3,000* 5,000 ❑ 7,500 ❑ 10,000* 20 'Not available on PMP Plans. *only service interval available for PMP Electric DISCLOSURE INFORMATION NOTE: THE PURCHASE OF THIS MAINTENANCE PLAN IS NOT REQUIRED IN ORDER TO PURCHASE, OR OBTAIN FINANCING FOR A 'MOTOR VEHICLE. I acknowledge receipt of a complete copy of this Maintenance Plan (the Application, Terms and Conditions constitute the 'Entire Maintenance Plan') at the time of signing and agree to all the terms and conditions. I agree to maintain the covered vehicle in accordance with the manufacturer's stated periodic maintenance recommendations as a condition of receiving coverage under this Maintenance Plan except as otherwise provided by law. MAINTENANCE PLAN/PURCHASER Signature (Not Valid without Signatr Original Signed by: STEVE PANATTONI KITi1TAS COUNTY 307 W UMPTANUM ROAD 12/28/2015 �1, ... rman nooress Maintenance Plan Lienholder Name ELLENSBURG wA 98926 NA DEALERSHIP INFORMATION Dealership Signature Original Signed by: JENNIFER CASTLE FOR OFFICE USE ONLY Dealer Name Columbia Ford, Inc. Address 700 -7th Avenue Address City Longview State WA Zip Code 98632 Telephone No Employee Stars Id P&A Code 0 8 6 0 2 0 D 2 1 5 4 9 9 6 ESP 8324- MNTC (Oct 15) (Previous Editions May Not be Used)