Mercedes-Benz Ma n ha MERCEDES-BENZ lals 77O 11th AVENUE • NEW YORK, N.Y. 1OO19 • NYS DLR. LIC. NO. 7003635 VEHICLE PURCHASE AGREEMENT P# 592971 430 PARK AVENUE • NEW YORK, N.Y. 1OO22 • BUYER HANS HOLTERBOSCH INC. SALESPERSON JEFFREY A. ROBERTS STREET 375 PARK AVENUE CITY PHONE-TIES. ( ) - NEW YORK STATE The ZIP CODE 10152 PHONE-RES. LESSEE NO VERBAL COM TTM S P NE-BUS. ADDRESS (212) 421-3800''' - WERE MADE O I DRIVER'S NAME PHONE-BUS. saliE ADDRESS - WHAT IS WRITTENr N REGISTRANT - FAX-BUS. ( ) - SANE / ADDRESS - NT SAL REP E-MAIL I ORCER AND AGREE TO PURCHASE FROM YOU, ON THE TERMS CONTAINED ON 8OTH IDES THIS AGREEMENT, 1)42 FOU_CAMPIG VEHICLE: Ygl i41 la NEw 0 usEo 0 DEMONSTRATOR MAKE MERCEDES-BENZ MCCEL CLS63 TYPE EXTERIOR COLOR 4 MATIC INTERIOR TRIM STOCK NO DELIVERY GATE 592971 RESERVATION -i VIN BUYERS Annual Miles: INSURANCE BROKER OEUVERY DATE / CUSTOMERS INITIALS NAME: WITH IF THE ABOVE REFERENCED VENCLE HAS NOT BEEN MEYERS) IN ACCORDANCE THIS CONTRACT WI THIN 5 DAYS CF THE ASO* REFERENCED DEUVERY ADDRESS: CONTRACT DATE. THE CONSUMER WITHOUT ANO DEALERSHIP HAS THE RIGHT TO CANCEL THE NOTICE ' - ' JCY NO: VEHICLE PRICE (4) S FACTORY INSTALLED EGuRMEWOEALER INSTALLED ECUPMENT (M AT TIME OF DELVY (4) Jid.R.P. IERCEDES 806 MINIMAX 478 RAP ME Nu/ YERX. IN 10822 TEL. (212) 6291600 tameerAteat N NO. NA Reethput 10: 4E0 • • aTehlatievdet TRANS CIDPLTS STATE CI e' NY IDt I PURCHASE 0 Sale MODEL =ammo TRANSPORTATION TO DEALER (9 NB meow ,,, ,- GAS GUZZLER TAX Wm Method: (*) Started owso s CONSUMER " (BASIS FOR LUXURY TAX) SUB-TOTAL Ttal: „. COMMA% o IRE SALE OF USEDMOTOR VEHICLES, $ l i ken 4NECTON Willi THIS TRANSACTOR. THE VALUE OF SERVICE CONTRACT (9 I SELLER CHOOSES Nor To RETURN IT TO auvESt) ENT. INSTEAD THE VALUE WV. BE CETERMINED BASED SUPPLEMENTAL TITLING FEE (*) *ED CAR GUIDE WHOLESALE VALUE OR ormeR GUIDE esem2 18:4? :V ICUS, MO ArAA1STED FOR MILEAGE. IMPROVEMENTS Imp: LESS TRADE-IN CREW ( - ) Ofai (BUYER SEE I AND 5(0) ON BACK) kr Ch: SSW Ems tont 211 : CASH PRICE ire attcli: SS A 7 a • THE INFORMATION BUYER SEES ON - `. IS PART OF THIS CONTRACT. INFORMAT'ON t. SALES 8.875%(+) TAX slY CONTRARY PROVISIONS IN THE CON- INSPECTION FEE (9 10.00 arguer Con . TISK MI WASTE TIRE RECYCLING FEE PURSE CONE ACAINI (9 12.50 if RPEECIATE AE WITHOUT YOUR CONSENT, I UNDER- YOUR WSI?CS! REGISTRATION FEE (ESTIMATE) : LIQUIDATED DAMAGES (9 IN ACCORDANCE RSE SIDE. DOC FEE (4-) 75.00 ..n. YER (a) STATE LAW REQUIRES THAT TOTAL DELIVERED PRICE (9 s 97.50 SELLERS OF SECOND HAND CARS ChRTI FY IN WRITING TO THE BUYER THAT LESS DEPOSIT SUBMITTED WWI ORDER EACH CAR (-) 1000.00 IS IN SAFE CONDITION AT THE TIME OF SALE. (b) THIS CERTIFICATION I$ A GUARANTEE THAT THE CAR IS IN SAFE CONDITION AT THE TIME OF SALE. PLUS BAUINCE OM* ON TRACE-IN CO YOU HAVE A RIGHT TO REQUEST (4) THE DEALER TO REPAIR OR TO PAY IN FULL FOR REPAIRS OR ANY UNSAFE CONDITION IN THE CAR WHICH DOES NOT CON PLY FINANCE CONTRACT LESSOR RECEIVABLE (4) WITH THIS CERTIFICATION. (d) THIS BUSINESS IS LICENSED BY THE DEPARTMENT DUE ON DELIVERY s -902.50 COMPLAINT PHONE: 212 • 487-4444. I OR OF CONSUMER AFFAIRS, 42 BROADWAY, NEW YORK. NEW YORK 10004. wc • CIA LC. NO. 692968 ONLY BANK CERTIFIED CHECK OR WIRE TRF on the 0 trite a BUYER'S SIGNA U c E % and have received a tompfeed copy of this agreement. 08/29/12 X DATE SEE OTHER SIDE FOR ADDITIONAL TERMS SELLER'S APPROVAL TITLE 1145 ORDER IS NOT VAUD UNLESS RGNED AND ACCEPTED SY AN AUTHORIZED MANAGER 08/I2242 ACCORDANCE F 1TSU AGREE WITH TO ASSIST REGULATION ME IN OBTAINING 'r UNTIL FINANCING ALL TRUTH FOR ANY PORTION OF THIS AGREEMENT THEN THIS CONTRACT IS NON-BINDING IN IN LENDING DISCLOSURES HAVE BEEN GIVEN TO AND ARE ACCEPTED BY ME. NOCII out EFTA_R1_02068451 EFTA02700851
