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s - ee Rae Lee, — , MOTOR YENCLE — gay,__ GOLDEN GATE AVE. GARAGE —~— stock We PURCHASE ORDER COLE NCTE VECO ‘Sree AND FEDERAL , . . DISCLOSURE STATEMENT ERS SeT, Res. Paeae___ 7 wn _ PLL At an eet £7 +s me ; Enter my erder tor the autemebile, accessories and Insurance listed belo ander the terms and conditions sat forth below and ex the reverse side: ‘ USED PLD PRIM Aporox. Det. Data ROS. Me. al ml B: 4 Year fin O77 (4) cae [OER a FSA GI BK PEGS | MOTOR VEHICLE \E. mar (77 D0 lm jm fee DO | FILL OUT THIS SECTION IF USED CAR 'S TO BE TRADED IN UNLESS WRITTEN GUARANTEE 1$ SIVEN MOTOR VEHICLE & accESSORIES |$- , F.2 | AT TIME OF SALE is Js Te The entire risk as to the quality and performance of this vehicle is with the : Buyer. tf the vehicle proves defective, the Buyer and not the ‘manufacturer, dis- CASH PRICE [3 7FAP7 [GV tributor or Seller, assumes the entire cost of necesspry servicing or repair. INQWNPAYMENT: Trade-In a , Buyer hereby acknowledges thet # label stating “Tyis car sold AS-IS” was Less Pay Off 18) attached to the vehicle at the time of purchase. $s rey REMARKS: TRADE-IN {A less 8) {C) $ : ° /, are. ¢—____Cash Downpayment Previously Paid (0}$. mc if REC. #. Cash Downpayment Paid Herewith (€)$ 2. ~_: ay / a, nic. ——____ Deferred Cash Downpayment —{F}$ ~ f CASH DOWNPAYMENT (0, E & F) {G} {: NY ot ff came TOTAL DOWNPAYMENT (Total of © & G) b r | hii tin (7 f cen at Title $ UNPAID BALANCE ON CASK PRICE [$ G3 IBRD UL Za, Ree. TOTAL GROSS INSURANCE PREMIUM [$k rie 7 7 TOTAL DEPARTMENT OF MOTOR vERICHES [$s AS UNPAID BALANCE-AMOUNT FINaNceD [S| 6S | + ff ANNUAL PERCENTAGE FINANCE CHARGE [3]. yf RATE el tora oF pavwents @+7+2n [$1 8 & Puch thet re : E REQUEST H the Seller and under DEFERRED PAYMENT PRICE {Total of 1, 4,5 & 7) $ $ H urchaser requests the [lig g ANsurance ihfoug e Seller ane under stands that insurance will qot/og in force until accepted by the insurance TOTAL OF PAYMENTS — PAYABLE IN INSTALLMENTS AS FOLLOWS: 1000 carrier. : FEENIHG — UNLESS A CHARGE TS INCLUDEB 18 THIS AGREEMENT FOR ‘o i Pi cit’ LIABILITY O& PROPERTY DAMAGE INSURANCE, PAYMENT FOR SUCH t GVi RAGE IS NOY PROVIDED BY THIS AGREEMENT. Deferred Cash Downpayment due 19 of $ f | Gross Premium | and____Weekly/Monthly Payments of $______each beginning _____-__, 19___ i $_____._Bed. Comp. Fire & Theft ——-—Mos.; ee Tr : ‘ a . || If any payment is more than twice the amount of @ regular equal payment ~ IDENTIFY tl Sore ee en ts we -——] writing “BALLOON PAYMENT”. “BALLOON PAYMENTS” will not be refinsnced. ” ————Limits, ————os.; r SECURITY INTEREST: This Purchase Order is a security veement covering the above described Property Damage $ —Llimits ————Mos.; motor vehicle, Title to said property shall not pass to Purchaser until all sums payable, and other Medical amounts gut of to become due, are fully paid. ——Maos.; r | Uipse execution af # Security Agreement gersuant ty thls Purchase Order said agreement stall provide: ——_-—Mos; PREPAYMENT: In the event of prepayment in full, Purchaser is entitied to # partial refund of the O:sability Insurance uneatned finance charge computed on the rule of 78. Where the finance charge, after computing Credit Life insurance . Ht Purchaser fornishe: — Mos; rT] the refund, amounts to jess than $25.00, there may be retained an amount equal to $25.00. ge aser Viet es Total Gross Premium Any unpaid delinquency charges may be deducted from such refund. No refunds fess than $7.00. own insurance list: DEFAULTS: Jf Purchaser defaults in the performance of his obligations hereunder, Seller at hus optios INS. CO. may accelerate the payment of the unpaid balance, end {1) sue for such balance, or {2} repossess 5. 60. $id property. Agent/Broker EATE CHARGES: A late charge of 5% is payable on any payment past due 10 days. NOTICE: No person is required as a condition precedent te financing the | Purchaser certifies that he is of legal age, and agrees to sign # Security Agreement according to purchase af & moter vehicle that any insurance be negotiated or purchased the terms herein. In the event Payolf figures are more than quoted by the Purchaser, Purchaser through # particular insurance agent ar Braker. hereby agrees to pay this excess on demand. This order is subject to credit approval and is not dind- ing unless signed by an authorized representative of Seller. All used cars or trucks sold “AS-IS” ang without guarantee 9s to condition, year or model, unless otherwise specified in writing. PROCEEDS OF LOAN — FROM Amount of Losn__._—_____ FINANCE CHARGE $. CREDIT INSURANCE AUTHORIZATION bate. The undersigned volunterity requests the following credit insurance for the term of the credit and understands that SUCH INSURANCE [S NOT REQUIRED AS A CONDITION TO THIS CREDIT EXTENSION. Total Amount CI Credit Disability Insurance: Premium § of Loan $ able in______Instafiments of $ _———__-_—____»---Pay’ CT Paid Herewith (2B 1 Deterred (2F) WOTICE TO BUYER ON OUTSIDE LOAN—Buyer may be required te pledge security fer @ lear, which sacurity must Se myluaily agreed te by-Suyer-and Lander. Boyer will: S67 ebligated for the installment payments an BOTH THE CONDITIONAL SALES CONTRACT SECURITY AGREEMENT) AND THE LOAN. MOTICE 1G THE SUYER: {1} Do not sige {RS agreement wetore yeu cezd it or if it cautaias any blank spaces te te filled in. {2) You are entitied te 3 completely filied-in copy af this agreemeat. (2) Under the lew yoo bave the right to pay off in advance tae full amount due and onder certain conditions te whtzin a partial refund of the finance eharge. (4) If you defacit in the pertermance of yout obligations under this agreement, the vehicle may be repossessed an yeu mey be sabjec!t t BACL Sew dy tee Ad epee leew ewes wrewietve bf whe egrerreree’ | RECEIPT OF A FILLEDIN COPY OF JHIS AGREEMENT IS HEREBY ACKNOWJEDGED | SELLER--AS ED ABDV: Ds CG af Purchaser’ he CO Credit tife Insurance Premium for one person $ _- Premium for additional insured signed-telow $_______---~ The undersigned acknowledges disclosure of the cost of such insurence as thown hesemn and authorizes inclusion of the premiums in the balance pay- able under this obligation. TO) 6 RCE ORANGES od sr ! Purchaser. Age________- The undersigned requests credit lite insurance as an additional insured: Copurchaser Age Representative of Seller W PRINTING CO., LOS ANGELES - SURCLINGAME COPYAIGNT 1976 — ALL RIGHTS REBEAVED BY LAW PRINTING CO. L.A. daith: MO. OZ 13/73) 1MEG. FZ) — sath. *