MOTOR VEHICLE JDEALER CYC”) STONEHAM MOTOR COMPANY INC. |
PURCHASE CONTRACT 186 MAIN STREET
FLEET SALES STONEHAM, MA 02180 www.stonehamford.com
LL 781-438-0490 FAX: 781-438-2148 _]
DATE Moree NO, STOCK NO, SALESPERSON
3/7/2016 141685 PAUL J BETTENCOURT
PURCHASER’S NAME(S) (‘I or "Me") STREET ADDAESS
i CITY OF NASHUA 229 MAIN ST
CITVISTATE/ZIP HOME PHONE | BUSINESS PHONE
NASHUA NH 03061 603 589 3333
ENTER MY 1 1 NEW FORMER USE DEMONSTRATOR [ POLUCE CAR [J REBUILT INSURANCE TOTAL [)
ORDERFOR (QUANTITY) USED (IF APPLICABLE) FORMER LEASED CAR (} FORMER DAILY RENTAL [] Taxicaa
Your Make Model Name Body Styfe/Type Model No. Transmission {Speeds} | Cyl. Pass. | Doors
Standard
2014 FORD TRANSIT CONNECT MINI VAN ESF Automatic 4 5
Vehicle identification No. Color ist Interior 1st Top Odometer Delivery Date
2nd 2nd I,
NMOGE9F76EL1144630 a¢ Ss WHITE a@_ STONE km. C]
Yoar Make WARRANTY INFORMATION Social Security No.
Model Type Color This vehicle carries an express war- | Date of Birth
VIN, fanty. Purchaser may obtain a copy of Employer ID No,
such warranty from the dealer upon
Odometer (mi. ‘km.(3) | request at time of order and will receive | E-mail Address
Transmission [] Standard (Speeds) DAuto the warranty at time of delivery. Price of Unit 3
No. of Cyl. |Pass. Doors.
Salvage Title Yes] _no(] REGISTRATION FEE/TITLE FEE
SALES TAX Additional Equipmentiitems
INLCUDES ALt SEA
City/State/Zip Application for Title
Application for Reg. (] New [1] Transfer
Address Registration No.
City/State/Zip Registration Fee | $
Acct. No. | Titte Fee $
Mass, Seles Tax | $
LIENHOLDER
Address * Sales Tax amount is included in
City/State/Zip right hand column only whe n
dealership check is issued in
ENS URANGEICS: payment of Mass. Sales Tax.
Agent/Branch
Address/City
In the event I fail to take delivery of the vehicle purchased by me within forty-
eight (48) hours after | have been notified by you that it Is ready for delivery and
pay the total contact price in the manner indicated, my deposit in the amount of
$ may. at your option, be retained by you to
compensate you in whole or part of any loss sustained by you. Your right to
tetain my deposit shall be in addition to and not instead of any other right or
remedy provided by applicable law Including, without limiting the generality of
the foregoing, the sale of the car or truck | agree (o purchase. If the amount of
my deposit exceeds actual damages sustained by you, you will promptly refund
the difference to me.
Purchaser's Initials { ]
ALL REBATES AND SALES INCENTIVES OFFERED BY THE MANUFACTURER OR
DISTRIBUTOR ARE HEREBY ASSIGNED TO THE DEALER. Total Price $ 24,367,
Purchaser's initials [ I Discount $
This contract is not binding upon either dealer or purchaser until the follawing conditions are met! Trade-in Allowance $
{1} The contract is signed by dealer or his/her authorized representative; SS
(2) Other, Rebate(s) Cosas
{3) Other: | | $
Price Difference $ 24,357.00
Sales Tax $
PURCHASER MAY CANCEL THIS CONTRACT AND RECEIVE A FULL REFUND AT
ANY TIME UNTIL S/HE RECEIVES A COPY OF THIS CONTRACT SIGNED BY AN |_(8). Inspection Sticker s
AUTHOR-IZED DEALER REPRESENTATIVE. PURCHASER MUST GIVE WRITEN | (2,3), Registration
NOTICE OF CANCELLATION TO THE DEALER $
(E). Door to Door Delivery Charge $
The front and backof this order (8). Freight in From Trading Dealer ;
compromise the entire agreement
between the dealer and purchaser, and Purchaser's Signature (8). Courtesy Delivery Fee $
no other agreement or understanding (1). Plate Processing Fee $
has been made or ententered into.
Co-Purchasers Signature Subtotal $ 24,357.00
Ooposit $
Authorized Dealer Representative TOTAL PAYMENT $ 24,357.00
