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NATIONAL VEHICLE SERVICE CONTRACT APPLICATION, TERMS & CONDITIONS (All Vehicles up to and including Transit and F 550 series) REGISTRATION INFORMATION Vehicle Identification Number 1 11 F 1 MI51 K 181 A I R 121 FIG I C I 1 I 61 71 21 9 Internet Sale I Current Mileage D Yes ~ No 3,124 ~ I ill LINCOLN PROTECT I Signature Date 12/28/2015 Warranty Start Date 03/25/2015 DCPO Current Hours* IPP Term D Incomplete (CabIChassis) D I I D Limo/Livery Wrap Surcharges: D 12 Months/12,000 Miles D Turbocharger/Supercharger D Snowplow ~ Commercial Use ~ Specialty -Emergency (Fire, Ambulance, Police pursuit units -except Ford police Interceptor), Limo, Livery, Shuttle, Tow Truck) D Component Wrap (Non-CPO) New Plan Coverage: Core -PowertramCARE, BaseCARE, ExtraCARE, Premium CARE (Standard Deductible IS $100) LeaseCARE -New PremiumCARE with Wear Items on Ford and Lincoln vehicles -(Standard Deductible is $0) 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 D Used Plan Plan Name A Deductible Plan Term Plan Expiration -(Earliest of all 3) Purchase Months Mileage Hours* Date Mileage Hours* Price PremiumCARE $0 60 1100,000 1 03/25/2020 1100,000 1 $ 2,495.00 Sales Tax Total Purchase Price with SalesTax $ 199.60 $ 2,694.60 Options D First Day Rental Delete D Enhanced Rental D Interior/Exterior Lighting Delete Plan Name B Deductible Plan Term Plan Expiration -(Earliest of all 3) Purchase Sales Tax Total Purchase Price Months Mileage Hours* Date Mileage Hours* Price with SalesTax 1 1 1 1 $ $ $ Options D First Day Rental Delete D Enhanced Rental D Interior/Exterior Lighting Delete *Super Duty Coverages and Incomplete Vehicle Plan Coverages require Current Hours and I Expiration Hours for all vehicles with an hour meter. Total $ 2,495.00 $ 199.60 $ 2,694.60 DISCLOSURE INFORMATION 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 Agreement") 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 coveraae under this Aareement exceot as otherwise orovided bv 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. ~section of this Service Contract titled, What This Agreement Covers and What is Not Covered, Your Responsibilities for Care of the Vehicle, Implied Warranty of Merchantitibility and Your and Our Rights __ to Cancel Agreement. Signature (not valid without Signature) SERVICE CONTRACT HOLDER I PURCHASER Signature (Not Valid without Sign~.t~) .D?i~ /? Original Signed by: STEVE PANATI0T' Vr,-IJ "} r)~_ (,,7 -'( A Name KITIITAS COUNTY City ELLENSBURG /'1 State I ,WA DEALERSHIP INFORMATION I {\ I Zip Code 98926 Dealership Signature : C~STI \ J \ ,\ Original Signed by: JENNIFER ~ .A-J... v I~ Dealer Name \..J V ~ Columbia Ford, Inc. Address 1 700-7th Avenue City Longview Zip Code 98632 Employee Stars Id Address 2 State WA Telephone No P&A Code ESP 8240-Nat App/Provs (Oct 15) (Previous Editions May Not be Used) Address 307 W UMPTANUM ROAD E-mail Address Signature Date 12/28/2015 Service Contract Lienholder Name NA FOR OFFICE USE ONLY