ContractFinancing Agreement • May 18th, 2011
Contract Type FiledMay 18th, 2011DEALER/CREDITOR NAME ADDRESS CITY, STATE ZIP DEALER/CREDITOR NO. FINANCING AGREEMENT DATE (GAP EFFECTIVE DATE) DATE VEHICLE PURCHASED/LEASED CUSTOMER/BORROWER PHONE NUMBER( ) - LAST NAME OF CUSTOMER/BORROWER FIRST NAME MIDDLE INITIAL STREET ADDRESS CITY STATE ZIP VEHICLE IDENTIFICATION NUMBER (17 CHARACTERS) YEAR MAKE MODEL FINANCIAL INSTITUTION/LENDER ADDRESS CITY, STATE ZIP PHONE NUMBER( ) TERM (MONTHS)* (CANNOT EXCEED 84 MONTHS) AMOUNT FINANCED OR LEASED* (CANNOT EXCEED $100,000) LOAN / RETAIL INSTALLMENT LEASEBALLOON APR PRIMARY INSURANCE DEDUCTIBLE (MAXIMUM BENEFIT $1,000) DOWN PAYMENT MSRP/NADA * (MAXIMUM LOAN TO VALUE 150%) GAP ADDENDUM PURCHASE PRICE TYPE OF VEHICLE ASSET: AUTO - PP NEWPRE-OWNED ODOMETER READING CUSTOMER/BORROWER EMAIL ADDRESS: