RETAILINSTALLMENT
SALECONTRACT
SIMPLEFINANCE
CHARGE
DealerNumber
ContractNumber
Buyer (and Co-Buyer)Name and Address(lncludingCountyand Zip Code)
| Creditor- SellerName and Address
if any),maybuythe vehiclebelowfor cashor on credit.By signingthiscontract,you chooseto buythe vehicle
You,the Buyer(andCo-Buyer,
"we"or "us" in this
on the frontand backof this contract.
Youagreeto pay the Creditor- Seller(sometimes
on creditunderthe agreements
contract)
the AmountFinanced
and FinanceChargeaccording
to the paymentschedule
below.We willfigureyourfinancechargeon a daily
Disclosures
basis.TheTruth-ln-Lending
belowarepartof thiscontract.
Year
New/Used/Demo
Make
and Model
VehicleldentificationNumber
PrimaryUse For Which Purchased
Mileage
familyor household
T estimate t-J personal,
2000
Uged
IISSAN
TNIIMA
JNlCA31AIYTO31869
LE
K
actual
FEDERAL
TRUTH.IN.LENDING
DISCLOSURES
ANNUAL
Amount
Total of
Payments
Financed
Theamountof
The amountyou
creditprovided will have paid afler
you have made all
ro youor
paymentsas
on yourbehalf.
I-INANGE
PERCENTAGE
RATE
Thecostof
yourcreditas
a yearlyrate.
CHARGE
The dollar
amountthe
creditwill
cost you.
scheduled.
d
?L -95
o/o
6.39e -?5
$ 2.390 -5?
$ 8r ?83-28
TotalSale
Price
The total cost of
your purchaseon
credit,including
your down
paymentof
g 1.200 -00 ;g
9,983 -28
g
Pavmenls
I
I
35
Amountof
24a
sB
damageinsurYoumaybuythe physical
Insurance.
ancethis conlractrequires(seeback)fromanyone
you choosewho is acceptable
to us.Youare nol
to obtaincredit.
to buyanyolherinsurance
required
willnot
Yourdecision
to buyor notbuyotherinsurance
process.
bea lactorin thecreditapproval
is checkedbelow,policiesor
lf any insurance
will
companies
fromthe namedinsurance
certiticates
thetermsandconditions.
describe
youwanlandsignbelow:
Checkthe Insurance
Life: I BuyerE Co-Buyern eoh
n Credit
(Buyer
Disability
Only)
I Credit
Premium:
WhenPayments
AreDue
Pavments
!
Optional
CreditInsurance
Your PavmentScheduleWill Be:
Numberof
n business
1 2 0 , 4 5 : n agricultural
I M o n t h l yb e q i n n i n q f f , / f 5 / 2 0 0 ?
Or As Follows:
N/e
CreditLile$
CreditDisability
$
Late Charge.lf paymentis not receivedin full within 10 daysafterit is due,you will pay a latecharge
greater
20
5
or
of $
"k of the part of the paymentthat is late,whicheveris
Prepayment.
ll you payoff all yourdebtearly,youwillnothaveto paya p€nalty.
SecurltyInterest.Youare givinga securityinterestin thevehiclebeingpurchased.
about nonpayment,
Additional Information:See this contractfor more informationincludinginformation
in fullbeforethe scheduled
dateandsecurityinterest.
detault,any requiredrepayment
:
FINANCED
]TEMIZATION
OFAMOUNT
andtaxes
1 Cashpriceof vehicle,accessories,
paidto otherson yourbehalf(Sellermaykeep
including
amounts
2 Othercharges
partof theseamounts.):
N/A
in line1 above
taxesnotincluded
A Government
fees
B Governmenl
licenseand/orregistration
N6trrv
c
c
$
Government
certificate
of litletees
D Nettrade-inpayoflto N./A
Fee
E Documentary
F Othercharges(Sellermustidentitywhois paidand
g ? r { 1 5 8 - 5 11 1 y
g
g
HomeOtficeAddr.ss{lA
arenot
insurance
andcreditdisability
Creditlileinsurance
to buyor notbuycredit
Yourdecision
required
to obtain
credit.
willnotbea factor
insurance
lifeinsurance
andcreditdisability
process.
unless
Theywillnotbeprovided
inthecreditapproval
yousiqnandagreeto paytheextracost.lf youchoose
this
ol
insuraice.
thec"ost
is shoivnin ltem6Aof th-eltemization
isbased
onyouroriginal
lifeinsurance
Amount
Financed.
Credil
maynotpayallyouowe0n
Thisinsurance
oavment
schedule.
bredlt disability
ihii contractil you makelate payments.
orinthe
inyourpayment
anyincrease
insurance
doesnotcover
and
for creditlile insurance
Coverage
number
of payments.
duedateforthe
insurance
endsontheoriginal
credit
disability
isshown
termfortheinsurance
a different
lastpayment
unless
0et0w.
20 -45
5 _00
N/I
99-00
OtherInsurance
N,/A
Typeof Insurance
Premium
$ N,/n
purpose.)
describe
tor I'I/A
toll,/A
for N./A
tol{/i
for H I A
toN/l
lor N.f t
toH/i.
1e1l l / l
tel{./A
tor l I / l
toN/A
paidtoothersonyourbehalf
Totalothercharges
andamounts
3 Totalcashprice(1+ 2)
= (ilnegative
4 Totaldownpapent
enter"0"andseeline2Dabove)
-payotf
N,/l'
byseller
Grosstrade-in
$
g
I'UL
= nettrade-in
+cash
N/A
N/A
Name
Insurance
Company
N/A
N/e
Name
Insurance
Company
g
6
N/r
N/e
Address
Home
Otfice
$
g
N/A
N,/A
above.
I wanttheinsurance
checked
6
6
t
r a{ .zs 1zy X
$ ?,59u -?5 (3)
N/A
s
$ I,200 .00
BuyerSignature
x
Co-Buyer
Signature
N/A
N/A
Term
fees
registration
license
and/or
B Government
6
5-00
of titlefees
certiJicate
C Government
to N,1L
D Nettrade-inPaYofi
Fee
E Documentary
(Sellermustidentily
whois paidand
F Othercharges
N/A
g
paidto othersonyourbehalf
Totalothercharges
andamounts
3 Totalcashprice(1 + 2)
= (if negaiiveenter"0"andseeline20 above)
4 Totaldownpaymsnl
-payotfby seller
N,1A
Grosstrade-in$
= nettrade-in
5
99-00
+cash
+other(describe)
of cashprice(3 minus4)
Unpaidbalance
g
$
6
N/e
N/r
N./r
Otherlnsurance
N/A
Term
Typeof Insurance
$
N/A
g
g
N/r
N/e
Name
Insurance
Company
HomeOtficeAddress
I wantthe insurance
checkedabove.
g
t
x
124-25 12y
?,592-?5 131
Date
BuyerSignature
X
N/e
g
g Ir?00 -00
N./l'
g l'?00-00 1ay
$
-?6
t 6,39?
151
Date
Co-Buyer
Signature
THISINSURANCE
DOESNOTINCLUDE
FORBODILY
LIABILITY
INSURANCE
ONYOUR
WITHOUT
INJURY
DAMAGE.
ORPROPERTY
YOUMAYNOTOPERATE
SUCH
INSURANCE
HIGHWAYS.
THISVEHICLE
ONPUBLIC
lnsurance
A Costof optional
creditinsurance
paidto lhe insurance
company
0r companies
$
Life
_
$_
Disability
paidto theinsurance
company
B Otherinsurance
charges
Totalinsurance
(5 + 6)
(principal
balance)
7 Amounllinanced
charge
I Finance
(7+8)
(timebalance)
9 Totalof payments
N/&
!
Premium
$ N/1
purpose.)
describe
for $./.L
toH,/A
for N/A
toU/A
N/-l'
to[li--for
for N/A
toN./l
tor Hll
toN/A
for lf/A
tolVl
N/A
20 -25
N/e
N/A
9
$
N,/A
N/A
Ir./A (o)
g 5,392-?517y
g 2.390-521sy
g 8 , ? 8 3- 2 8 1 e y
itent7, is paidinfullonor before
financed,
charge
if theamount
OPTION:
! Youpaynolinance
FeePaidin
lnterestRecording
Amountof Security
N,/A
Cash
$
topaya charge
Youagree
Relurned
Charge:
Check
not to exceed$20 if any checkyou giveus is
dishonored.
Year
-.
INITIALS
SELLERS
OFFPERIOD
NO COOLING
Statelawdoes not providefor a "coolingoff" or cancellationperiodfor this sale.Afteryou sign thi: contract,
you may only canc6lit if the selleragreesor for legalcause.Youcannotcancelthiscontractsimplybecause
you changeyour mind.Thisnoticedoes not applyto homesolicitationsales.
TheAnnual PercentageRatemay be negotiable with the Seller.The Sellermay assign this contract
and retain its right to receive a part of the Finance Charge.
tothismntract
must
be
youandusrelatrng
tothismntract.fny.change
between
thee3-tire.agreement
Thiscontract
contains
CANBECHANGED.
HOW
THIS
CONTRACT
SignsX'c-LsioneAt .t
C6-Buyer
arebinding.BuyerSignsX
inwriting
andwemustsignit. Nooralchanges
lfanypirtoftniscontraciiSnotva|id,a||otherpartSstayVa|id.Wemaydelayorrefrain
payments
formaktng
others.
lhetime
without
extending
thetime
lormaking
some
wemay
extend
for
important
agreements,
other
Seeback
NOTICETO RETAILBUYER:Do not sign this contract in blank. You are entitled to a copy of the contract at the time
you sign.Keepit to protectyour legalrights.
we gaveit to.you,andyouwere
confirmthatbeforeygusigngdthis contract,
Youagreeto thetermsof thiscontract.You
filled-incopywhenyousignedit.
a completely
freetd'takeit andreviewit.Youconfirmthatyoureceived
t'lo,lol
X &rsTon4eQaA
Oate
X ( , ,sf omeA SIA,'SS
Co-Buyer
Signs
9^1,
Buyer
Signs
for payingthe entiredebt.An otherowneris a personwhosenameis on the titleto the vehiclebut
is a personwho is responsible
andOtherOwners- A co-buyer
Co-Buyers
givento usin thiscontract.
in thevehicle
interest
to thesecurity
doesnothaveto paythedebt.Theotherowneragrees
Address
Otherowner
Sellersigns
By X
ry
By Jrsd
Title-
withrecourse
Assigned
without
or withlimitedrecourse
Assigned
SelerI>F,AttQnJAne
,5rr,,tjs
withAssignee.
(Assignee)
underthetermsof Selle/sagreement(s)
to
itsinterest
in thiscontract
Sellerassiqns
, Al
Dr:n tgrz
Titte T,tle
Seller
By
Title
No D46o
782
t" FOrmNO.553-OH,nrvrozru.s.PATENT
id 1 800-531
9055
TO0R0EF:M rey$ue.6mr 1.800-34.1-Cr996,
@200TRenolde md Relrold.
ASTO COTTENTOR
OF IMPLIED,
frE PRIfrER MAKESNOWARRAW, EXPRESS
OWNLEGALCOUNSEL.
FITNESSFOBPUBPOSE
OFTHISFORM.COTSULTYOUR
LIENHOLDER
ORIGINAL