Protection Service ContractExcess Wear & Tear Protection Service Contract • July 13th, 2015
VEHICLE LESSEE/ PURCHASER Consumer(s) Agreement Number Address Telephone City State ZIP VEHICLE Finance Agreement Date Odometer Reading at Finance Agreement Date Vehicle Identification Number (VIN) Year Make Model DEALER Dealer Name Dealer Number Telephone Address City State ZIP ACAR LEASING INFORMATION ACAR Leasing Registered Name Telephone Address City State ZIP AGREEMENT M.S.R.P. Finance Agreement Term (in Months) First Payment Due Date Monthly Payment Amount Original Scheduled Termination Date Amount Financed Consumer Purchase Price Coverage: Up to a maximum of $5,000 (See terms and conditions on reverse side) Deductible: $0 Maximum Single Item Limit: $1,000
