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09WN pCK td6Al'EFt LlttlCOLN-MERCE&FtY, Eh'^. <br />.?r ';0GE V:°=ST?AKE. OHIO a, Mercury <br />;?,!L Go Itl., 7 iiH!"i" r7 Deal No- <br />RES. BUS. <br />PURCHASER , . .?i?F? I _.li i+j:-_. - . 1 ?...1 PHONE Date i'i ?t r •; •-? r •_, ; l: ?._: <br />-?T?°,;? , ,_IF- F,?r}{+'?'i?i? _ PHONE ? r? • <br />CITY & <br />ADDRESS 5?:' i`:(`) T'ti"i+_3f"R ;`F1:ETFP RD STATE i't' 0}j ZiP 4 sjsJ <br />pl-- Fntnr nm, (lrricr fnr ThP Snllnwinn I7P.SCYIfIP.CI VP.FIICIE: N@W ? ._ USBCI ? Demo ? Rental ? Customer Initials <br /> MAKE YEAR MODEL BODY TYPE COLOR TRIM STOCK No. SERIAL NUMBER <br />Vehicle <br /> <br />Sold <br /> <br />??.f_?'_+i <br /> <br />h'? I L. t? t? <br />; ,... r.? <br />a-._, ?+tn_., f-r. <br />.. , <br />' f?f.??. <br />_ <br />i?.j . <br /> <br />1 ?{,.i„t <br />E711 <br />tc? ta ::-: <br />tit; t.'i-!. ? <br />Vehicle Traded in <br />Will Be: <br />VEHICLE SOLD MILEAGE: ACCURATE YES (?, i.NO I-ITRADE MILEAGE: ACCURATE YES I-i NO L-i <br />Cash Delivered Base Price of Vehicle <br />Optional Equipment and Services _ <br />PEF' W:[HLaOL! :,"i'I?;}?`.EF' <br /> <br /> <br /> <br /> <br /> <br /> <br />The Purchaser warrants that any used vehicle detivered to the Dealer <br />hicle <br />l <br />b <br />vage ve <br />. <br />een a sa <br />is properly titled to the Purchaser and has never <br />X <br />THE INFORMATION YOU SEE ON THE (FEDERAL TRADE COM- <br />MISSION) WINDOW FORM iS PART OF THIS AGREEMENT. INFOR- <br />THE WINDOW FORM OVERRIDES ANY CONTRARY <br />MATION ON <br />PROVISIONS IN THE CONTRACT OF SALE. <br />Used Vehicle Allowance $ f4 1A Cash Price <br />2 -, <br />.-i.-, 9 <br />Less Estimated Balance Owed On <br />Trade-In To: Enter Sales Tax Here {u '•, $ ?; <br /> $ <br />HjA <br />License Fees <br />$ <br />.-; 1? ;k <br />Net Trade-In Allowance $ 1,,J I A Title Fees $ 9611r <br />Plus Cash Down Payment <br />On Order Cash De osit Non Refundable Documentary Service Charge $ <br />N/ <br /> <br />?'E?S?iTE $ <br />f ti <br />13271 {}. (j?; Registration Fees $ c <br />f3;) <br />Total Down Payment (Transfer to Right Column) $ 13.i Oa0; y Total Final Price $ -33 . 9 7., <br />DEPOSIT RECEIPT <br />acknowledges receipt of the sum oi <br />Dealer hereb NEGATIVE EOUITY DISCLOSURE <br />I am aware the balance owed on my trade-in vehicle Less Down Payment $ _ <br />', { r>C <br />y <br />$ es a DeposiVPartial PaymeM for exceeds the trade-in allowance from Dealer and, as a <br />italized cost be <br />t the ca <br />tl th <br />t Unpaid Balance of Cash Price $ -,_ <br />?' <br />the vehicle dascnbed above. If this Receipi is tor a Deposit, <br />Dealer will refrain irom selling the described vehicle for p <br />e <br />a <br />result, I have reques <br />increased $ to cover fhe negaiive $ <br />"days. This DeposiVParhal Payment <br />? IS ? IS NOT refundable, subject to the condifions equity trom my trade-in vebicle. <br />Extended Service Plan <br />$ <br />: <br />.,i • <br />: ' <br />in <br />f <br />ll <br />d th <br />id X <br />g <br />o <br />ow <br />e an <br />e <br />on the reverse s Cash or Certified Check on Delivery $ -, 1 <br />13 5 9., The purchaser hereby irrevocabiy appoints any omcer anaior assistani omcer 01 aealer alIu/vl a??? ??? lZ_GU ayU11L ao all a«-livr-111-i- lv <br />execute any and all necessary documents that may be required by any individual, firm, or corporation, in order to implement and complete the <br />transaction for the purchase of the vehicle, as set forth in the within purchase agreement and in order to effectuate the purpose and intent of the <br />purchaser and the dealer. <br />The undersigned purchaser hereby acknowledges receipt of a copy of this order and that the purchaser has read the terms and conditions <br />on the front and back of this order. <br />I AGREE TO THE TERMS AND CONDITIONS ON THE REVERSE SIDE OF THIS ORDER THE SAME AS IF IT WERE PRINTED ABOVE MY <br />SIGNATURE. I REPRESENT THAT I AM 18 YEARS OF AGE OR OVER. DON'T SIGN UNLESS Y HAVE REA I FRONT AND REVERSE <br />SIDE OFTHIS ORDER. RECEIPT OF A COPY OFTHIS ORDER IS ACKNOWLEDGED. <br />? CUSTOMER'S DATE 4.J `1 f'??0 . ESMA <br />SIGNATURE ......._ _.... ` .."' ?;` ..? <br />Not binding unless accepted by Dealer's Management MANAGER'S APPROVAL <br />