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�A PURCHASER Mayfield Village ADDRESS 770 SOM CTR CITY Mayfield STATE OH ZIP44143 RES. PHONE(—)— BUS. _)_ BUS. PHONE(_ )� E-MAugcarcioppolo@mayfieldvillage.C®PE 03/07/22 MOBILE NO. (_ ) PLEASE ENTER MY ORDER FOR THE FOLLOWING DESCRIBED MOTORVEHICLE: 5)NEW ❑USED ❑DEMO ORENTAL ❑FACTORYOFFICIAL VEHICLE SOLD- MAKE YEAR MODEL BODY TYPE EXHIBIT A BUYERS ORDER Tim Lally Chevrolet, Inc. 24999 Miles Rd Warrensville Heights, Ohio 44128 440-232-2000 Fax 440-232-2104 DEAL NO. CUSTOMER NO MILEAGE ON PURCHASED VEHICLE: Accurate Unless Marked Not Accurate O NOT ACCURATE COLOR TRIM STK. NO. SERIAL NO. Chevrolet 12023 1 Tahoe SSV I 4x4 I RED I BLK I I ORDER TRADE IN RECORD - TRADE 1 YEAR MAKE MODEL TWE VW e MILEAGE: (Accurate Unless Marked Nol A=Me) QRa Aceurala Salvage Vehicle? Q Yes BALANCE OWED $ (Good Unk7 ) Trade-in Allowance TRADE IN RECORD - TRADE 2 YEAR MAKE MODEL TYPE VIN a ' MILEAGE: (Aeeurale Unless Madred Nal Amaale) Vol Amirale Sahago Vehide? Yea BALANCE OWEDS (Good Until H Trade-in Allowance REMARKS: Federal Signal low profile package includes: 2 front grill watt simaker. controller. frnt ILS. rear stick. 2 si e I and armrest. DEPOSIT (PARTIAL PAYMENT) RECEIPT— Purchaser hereby provides to the Dealer the sum of $ as Non -Refundable Deposit/Partial Payment for the vehicle described above. If this Receipt is for a Deposit, Dealer will refrain from setting the described vehicle for days from the date of Deposit. x NEGATIVE EQUITY DISCLOSURE & CONSENT— I am aware that the balance owed on my trade-in vehicle or the amount owed on my lease tum in vehicle exceeds the trade-in allowance from the dealer. As a result, I have requested that the "Total Due" be increased by the difference, $ (known as negative equity). x ARBITRATION -I agree that any dispute arising from this transaction will go to arbitration and I have executed a detailed arbitrabon agreemerd which is fully incor- porated herein. Arbitration Is not required for the purchase or fetatcing of your vehicle. X ALL WARRANTIES, IF ANY, BY A MANUFACTURER OR SUPPLIER OTHER THAN DEALER ARE THEIRS, NOT DEALER'S. AND ONLY SUCH MANUFACTURER OR OTHER SUPPLIER SHALL BE LIABLE FOR PERFORMANCE LANDER SUCH WARRANTIES. UNLESS DEALER FURNISHES PURCHASER WITH A SEPARATE WRITTEN WARRANTY OR SERVICE CONTRACT MADE BY DEALER ON ITS OWN BEHALF, DEALER HEREBY DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE IN CONNECTION WITH THE VEHICLE AND ANY RELATED PRODUCTS AND SERVICES SOLD BY DEALER. DEALER NEITHER ASSUMES NOR AUTHORIZES ANY OTHER PERSON TO ASSUME FOR IT ANY LIABILITY IN CONNECTION WITH THE SALE Of THE VEHICLE AND THE RELATED PRODUCTS AND SERVICES. IN THE EVENT THAT A WRITTEN WARRANTY IS PROVIDED BY DEALER OR A SERVICE CONTRACT IS SOLD BY DEALER ON ITS OWN BEHALF. ANY IMPLIED WARRANTIES ARE LIMITED IN DURATION TO THE TERM OF THE WRITTEN WARRANTY/SERVICE CONTRACT. CONTRACTUAL OMCLOSURE STATEMENT (USED VEHICLES ONLY) THE HWORMATION YOU SEE ON THE WINDOW FORM FOR THIS YOKU IS PART OF TINS CONTRACT. IiFORMATION ON THE WOO= FORM OVERRIBES ANY CONTRARY PROVISIONS IN THE CONTRACT OF SALE SUVA PARA L'AMPRADORES K WEHICULOS USADOL LA ITFORMACION OUEAPARECEEN LA VEUTAN&LADE ESTE VEHICULOFORMA POINTE BE ESTE CONTRATO. LA INFORMACION CONTENDA BM EL FORMULARD DE LA Vt:NTANILLA ARULA CUAL(MER PREWLSMN OR ESTABLEMRL000NTRAR(OY OOE APAREZCA tar EL CONTRATO DE YENTA, It the purchase of the molm vehicle described herein is to be financed this agreement is sublect to credit approval and assignment of a retail installment sales contract to a financial Institution, and the Annual Percentage Rate (APR) may be negotiated with dealer and dealer may receive Compensation for arranging financing on customm's behalf. These docmrlants are fully Incorporated herds (where applicable): Cond tliahal/Spot DeHwry Agreement, We Owe/Dellvelly Report and Used Vehicle Limited Warranty. NO ORAL REPRESENTATIONS HAVE BEEN MADE TO THE PURCHASER and all terms of the agreement are contained on the from and back of this agreement and any documents Incorporated herein. t have read the terms and conditions DI this Agremuent, both an front and back, and agree to them. I certify that 1 an at least 18 years Old, and acknowledge receipt of a COPY of this agreement. I UNDERSTAND THAT THIS RETAIL BUYERS ORDER IS NOT SIIDINS UNLESS ACCEPTED BY DEALER OR HIS AUrRORRED AGENT. PRICE OF VEHICLE a 5967 00 OTHERGOODSa SERVICES PPV 4X4 ) 6J7 Flashers stem headlamps and to 1 59100 6J4 Horn Circut Wiring L105100 16C7 Red and white front dome light I 17d I 6J3 Grill Lamp/Siren Speaker wiring- 1 92100 1 QRZ REAM 'CAMERAI Special Paint Red 569 F r Marked Vehicle Fac a6e 5960JO0 Havis Tablitt Holder 495JO0 DOCl IMENTARY SERVICE FEE TOTAL PRIDE 1 47213100 TRADE-IN ALLOWANCES) TAX BASE SALESTAx % TITLE FEE 15 REGISTRATION FEE PLUS PAYOFF ON TRADE VEHICLE(S) TOTAL DUE LESS W MAL PAYMENT CASH DOWN S LESS REBATErFACTORY INCENTIVE LESS REBATEIFACTORY IN CENTNE KANDE DUE s 4722 .00 This motor vehicle contract is executed this day of PURCHASER(S) SALESPERSON ACCEPTED BY AUTHORIZED AGENT CGCADA-15 (Revt/12)