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Westlake Financial Credit Application

The document is a retail motor vehicle credit application from Westlake Financial, requiring personal and financial information from the applicant, Grissel Martinez. It outlines the necessary identification procedures, employment details, and income sources, along with legal notices specific to various states. Additionally, it includes consent for credit checks and marketing communications, as well as a risk-based pricing notice regarding the applicant's credit score status.

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gmunoz928
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© All Rights Reserved
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0% found this document useful (0 votes)
49 views25 pages

Westlake Financial Credit Application

The document is a retail motor vehicle credit application from Westlake Financial, requiring personal and financial information from the applicant, Grissel Martinez. It outlines the necessary identification procedures, employment details, and income sources, along with legal notices specific to various states. Additionally, it includes consent for credit checks and marketing communications, as well as a risk-based pricing notice regarding the applicant's credit score status.

Uploaded by

gmunoz928
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Westlake Financial

Retail Motor Vehicle Credit Application

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT: Federal law requires all financial
institutions to obtain, verify, and record information that identifies each person who opens an account. You may be asked
several questions, including but not limited to your name, address, date of birth, and other information, that will allow us to
identify you and to provide one or more forms of identification to fulfill this requirement.

Credit Application: Applicant


Title (optional) Last Name First Initial Suffix Date of Birth Soc. Sec. #

MARTINEZ GRISSEL 9/28/1989 615-32-5824


Present Address Line 1 Time at Present Address Driver's License # / Gov’t Issued ID

23452 El Reposa 3 Yr 9 Mo D9861500


Present Address Line 2 City County State ZIP

Aliso Viejo CA 92656


Residence Type Present Address Urbanization Code

Other
Previous Address Line 1 Time at Previous Address Preferred Email

gmunoz928@[Link]
Previous Address Line 2 City State ZIP

Home Phone Mobile Phone Other Phone

(949) 520-8557 (949) 520-8557

Landlord Name/Mortgage Co. Landlord/Mortgage Phone Number Monthly Rent/Mortgage Payment

$450.00
Current Employment Title Employment Status Employment Type

SHIFT MANAGER EmployedFullTime


Current Employer Gross Monthly Salary (Current Job)

DEL TACO $3,269.71


Current Employer Address City, State, Zip Time at Current Job

4 Yr 6 Mo
Current Employer Phone Business Email Address

(949) 619-1111
Secondary Employer Name (if applicable) Gross Monthly Salary (Secondary Job)

Secondary Employer Address City State Zip Secondary Employer Phone Time at Secondary Job

Previous Employer Previous Employer Phone Time at Previous Job

Previous Employer Address

Nearest Relative - Name and Address

Relationship Phone

Additional Reference - Name Address Phone

Alimony, child support, or separate maintenance incomes do not have to be revealed unless the applicant wishes to have such sources considered as a basis for repayment of the requested credit
amount.
Gross Income Income Received Other Income Source Other Income Other Income Received Monthly Support/Alimony Received

$3,269.71
Bank Name Bank Account Type Code

Creditor Reference - Name / Address Creditor Balance Creditor Monthly Payment

Company Financing Auto Loan Previous Auto Loan Acct # Previous Auto Loan Balance Previous Auto Loan Monthly Payment

Westlake Financial

WFS Credit Application 1/2020 Page 1 of 5


Westlake Financial

Credit Application: Co-Applicant


Title (optional) Last Name First Initial Suffix Date of Birth Soc. Sec. #

Present Address Line 1 Time at Present Address Driver's License # / Gov’t Issued ID

Present Address Line 2 City County State ZIP

Residence Type Present Address Urbanization Code

Previous Address Line 1 Time at Previous Address Preferred Email

Previous Address Line 2 City State ZIP

Home Phone Mobile Phone Other Phone

Landlord Name/Mortgage Co. Landlord/Mortgage Phone Number Monthly Rent/Mortgage Payment

Current Employment Title Employment Status Employment Type

Current Employer Gross Monthly Salary (Current Job)

Current Employer Address City, State, Zip Time at Current Job

Current Employer Phone Business Email Address

Secondary Employer Name (if applicable) Gross Monthly Salary (Secondary Job)

Secondary Employer Address City State Zip Secondary Employer Phone Time at Secondary Job

Previous Employer Previous Employer Phone Time at Previous Job

Previous Employer Address

Nearest Relative - Name and Address

Relationship Phone

Additional Reference - Name Address Phone

Alimony, child support, or separate maintenance incomes do not have to be revealed unless the applicant wishes to have such sources considered as a basis for repayment of the requested credit
amount.
Gross Income Income Received Other Income Source Other Income Other Income Received Monthly Support/Alimony Received

Bank Name Bank Account Type Code

Creditor Reference - Name / Address Creditor Balance Creditor Monthly Payment

Company Financing Auto Loan Previous Auto Loan Acct # Previous Auto Loan Balance Previous Auto Loan Monthly Payment

WFS Credit Application 1/2020 Page 2 of 5


NOTICES

California Residents. Each applicant, if married, may apply for a separate account.

Maine Residents. You have the right to select the agent and insurer to be used for any type of insurance required in
connection with this credit transaction, including the right to choose an insurance agent or broker, whether or not
that agent or broker is affiliated with us.

We shall not interfere, either directly or indirectly, with this right of choice of an agent and of an insurer. Your choice
of a particular insurance agent or broker will not affect our credit decision or credit terms in any way, as long as the
insurance provides adequate coverage with an insurer who meets our reasonable requirements such as the solvency
and assessment policies of the insurer and its ability to service the policy.

New Hampshire Residents. If this is an application for a balloon retail sales contract, applicants are entitled,
upon request, to receive a written estimate of the monthly payment for a balloon payment refinancing in
accordance with the creditor's current refinancing programs prior to entering into a balloon contract.

New York Residents. A consumer report may be ordered in connection with your application. Upon your request, we
will inform you whether or not a report was ordered. If a report was ordered, we will tell you the name and address of
the consumer reporting agency that provided the report. Subsequent reports may be ordered or utilized in connection
with an update, renewal or extension of credit for which you have applied.

Ohio Residents. The Ohio laws against discrimination require that all creditors make credit equally available to all
creditworthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon
request. The Ohio Civil Rights Commission administers compliance with this law. Any person who, with intent to
defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing
a false or deceptive statement is guilty of insurance fraud.

Wisconsin Residents. MARITAL PROPERTY AGREEMENT NOTICE: No provision of any marital property
agreement, unilateral statement under Wisconsin Statutes Section 766.59 or court decree under Wisconsin Statutes
Section 766.70 adversely affects the interest of the creditor unless the creditor, prior to the time the credit is granted,
is furnished a copy of the agreement, statement or decree or has actual knowledge of the adverse provision when
the obligation to the creditor is incurred.

The following is for Wisconsin residents only:


Applicant is  married  unmarried (includes single, divorced or widowed)  separated.
If married or separated, and Applicant's spouse is not a joint applicant, such spouse's name is and address is
______________________________________________________________________________.
Waiver of Notice by Non-Joint Applicant Spouse: I agree to waive notice of any extension of credit in connection with
this application.

________________________________________________________
Signature of Non-Joint Applicant Spouse Date

WFS Credit Application 1/2020 Page 3 of 5


Westlake Financial

Joint Credit Intention Signature


By signing below, the applicant and the co-applicant below hereby acknowledge that there is an intention to apply
for joint credit:

Applicant: (if applicable): ___________________________________ Date:_____________


8/26/2024
GRISSEL MARTINEZ

Co-Applicant (if applicable): _________________________________ Date:_____________

By signing this application:

I authorize Dealer and any finance company, bank or other financial institution to which the Dealer submits my
application ("you") to investigate my credit and employment history and obtain credit reports in order to evaluate this
application or for any other legitimate purpose in connection with this application. I authorize you to contact any listed
references that I have provided on this application both for the purposes of evaluating my creditworthiness and for
servicing purposes after my loan has been funded in order to obtain my location information.

I further authorize you to forward my application and all related information to other creditors for evaluation as a method
of effectuating my request for credit.
If an account is created, I authorize you to obtain credit reports, from time to time as you wish, for the purpose of reviewing
or taking collection action on the account, or for other legitimate purposes associated with the account.

Monitoring, Recording, and Collection Communications


I agree that you, your affiliates, agents and service providers may monitor and record telephone calls regarding my
account to assure the quality of your service or for other reasons. I also expressly consent and agree to you, your
affiliates, agents and service providers using written, electronic or verbal means to contact me as the law allows. This
consent includes, but is not limited to, contact by manual calling methods, prerecorded or artificial voice messages, text
messages, emails and/or automatic telephone dialing systems. I agree you, your affiliates, agents and service providers
may do so using any e-mail address or any telephone number I provide, including a number for a cellular phone or other
wireless device, regardless of whether I incur charges as a result.
I certify that I have read and agree to the terms of this application and that the information in it is complete and true.
If I sign this credit application electronically, I intend that process to be my electronic signature on an electronic
application, acknowledge receipt of all disclosures provided on the credit application, and give my authorization and
consent to the recipient(s) of this application to take the actions identified in the credit application.

Credit Application Signature


eSigned By:

GRISSEL MARTINEZ
Applicant: _______________________________________________ 8/26/2024
Date:_____________
Aug 26, 2024 2:47:55 PM PDT

GRISSEL MARTINEZ

Co-Applicant (if applicable): _________________________________ Date:_____________

Marketing Consent

Applicant: by signing below, I authorize you and your affiliates to deliver or cause to be delivered, to the phone numbers
I have provided in the credit application or in the future, advertisements and telemarketing calls using an auto dialer or
an artificial or prerecorded voice. I further acknowledge that my consent is not required as a condition of applying for or
receiving an extension of credit.
eSigned By:

GRISSEL MARTINEZ
Applicant: Aug 26, 2024 2:47:55 PM PDT Date: 8/26/2024
GRISSEL MARTINEZ
Co-Applicant (if applicable): by signing below, I authorize you and your affiliates to deliver or cause to be delivered, to
the phone numbers I have provided in the credit application or in the future, advertisements and telemarketing calls
using an auto dialer or an artificial or prerecorded voice. I further acknowledge that my consent is not required as a
condition of applying for or receiving an extension of credit.

Co-Applicant (if applicable): Date:

WFS Credit Application 1/2020 Page 4 of 5


For Dealer Use Only:
New/Used/Demo Year Make Model VIN Mileage Book Value

USED 2011 Ford F150 SuperCrew Cab 1FTFW1ET9BFD27952 143602 $11,358.00


Trade In Year Make Model VIN Allowance Payoff

$0.00 $0.00
Cash Selling Price Net Trade Cash Down Products & Fees Amount Financed Term Rate

$15,995.00 $0.00 $4,500.00 $528.22 $15,272.14 48 26.69%

WFS Credit Application 1/2020 Page 5 of 5


Credit Scores and the Price You Pay for Credit
Risk-Based Pricing Notice - Credit Score Not Available

Seller Name and Address Buyer Name and Address Date


Westlake Financial GRISSEL MARTINEZ 8/26/2024
4751 Wilshire Blvd Ste 100 23452 El Reposa
Transaction Number
Los Angeles, CA 90010 Aliso Viejo, CA 92656
App# 94757059
(800) 641-6700 (949) 520-8557

Your Credit Score


Your credit Your credit score is not available from ,
score which is a consumer reporting agency, because they may not have enough information about your credit history
to calculate a score.

What you A credit score is a number that reflects the information in a credit report.
should A credit report is a record of your credit history. It includes information about whether you pay your bills on
know about time and how much you owe to creditors.
credit
scores A credit score can change, depending on how a consumer's credit history changes.

Why credit Credit scores are important because consumers who have higher credit scores generally will get more favorable
scores are credit terms.
important Not having a credit score can affect whether you can get credit and how much you will have to pay for that credit.
Checking Your Credit Report
What if You have a right to dispute any inaccurate information in your credit report. If you find mistakes on your credit
there are report, contact the consumer reporting agency.
mistakes in
your credit It is a good idea to check your credit report to make sure the information it contains is accurate.
report?
How can Under Federal law, you have the right to obtain a free copy of your credit report from each of the nationwide
you obtain a consumer reporting agencies once a year.
copy of To order your free annual credit report f
your credit
report? By telephone: Call toll-free: 1-877-322-8228
On the web: Visit [Link]
By mail: Mail your completed Annual Credit Report Request Form (which you
can obtain from the Federal Trade Commission's web site at
[Link] to:
Annual Credit Report Request Service
P.O. Box 105281
Atlanta, GA 30348-5281

How can For more information about credit reports and your rights under Federal law, visit the Consumer Financial
you get Protection Bureau's website at [Link]/learnmore .
more
information?

eSigned By:

GRISSEL MARTINEZ
Aug 26, 2024 2:47:59 PM PDT

Risk-Based Pricing Notice-Credit Score Not Available-BHPH/CFPB version


Bankers Systems * RISK-NCSBHPH 12/15/2012
Wolters Kluwer Financial Services - 2012 Page 1 of 1
About Printing Requirements Reset Show Field Borders

CALIFORNIA LANGUAGE ACKNOWLEDGEMENT


Seller or Lessor Buyer or Lessee Co-Buyer or Co-Lessee
Name and Address Name and Address Name and Address
1 Stop Auto Mart GRISSEL MARTINEZ
13631 Harbor Blvd 23452 El Reposa
Garden Grove, CA 92843 Aliso Viejo, CA 92656

Contract # 809 Contract Date 8/26/2024

By signing below you acknowledge that the conditional sale contract, or retail installment contract or lease identified above (the
"Contract") was negotiated primarily in the language checked below and that if the language checked is not English you were given
a written translation of the Contract in the language checked before you signed the Contract.

l Chinese, l English l Korean,

l
X Spanish, Español l Tagalog, Tagalog l Vietnamese,

eSigned By:

GRISSEL MARTINEZ 8/26/2024


Aug 26, 2024 2:48:03 PM PDT

Buyer or Lessee GRISSEL MARTINEZ Date

Co-Buyer or Co-Lessee Date

Language Acknowledgement-CA LANG-ACK-CA 8/15/2011


Bankers Systems *
Wolters Kluwer Financial Services - 2011
ADDED PRODUCTS & SERVICES
(With Motor Vehicle)
Regarding Conditional Sale Contract Seller Buyer(s)
and Security Agreement 1 Stop Auto Mart GRISSEL MARTINEZ
13631 Harbor Blvd 23452 El Reposa
Garden Grove, CA 92843 Aliso Viejo, CA 92656
No. App# 94757059 - V# 2

Date 8/26/2024

Year Make Model Style Vehicle Identification Number Odometer


Mileage
2011 Ford F150 SuperCrew Cab 1FTFW1ET9BFD27952
143602

The following products and services are OPTIONAL. They are NOT required to obtain credit, are NOT a
factor in the credit decision, and are NOT a factor in the terms of the credit or the related sale of the
above-described motor vehicle.
□ (Optional) Theft Deterrent Device(s):
$ N/A
$ N/A
$ N/A
□ (Optional) Surface Protection Product(s):
$ N/A
$ N/A

X (Optional) Service Contract(s):
GWC WARRANTY $ 2000.00
$ N/A
$ N/A
$ N/A
$ N/A
□ Optional Debt Cancellation Agreement or Guaranteed Asset Protection Waiver:
$ N/A
□ (Optional) Used Vehicle Contract Cancellation Option Agreement $ N/A
□ (Optional) Insurance Product(s):
$ N/A
$
$
$
Total $ 2000.00

Installment Payment EXCLUDING Listed Items $ 454.68

Installment Payment INCLUDING Listed Items $ 523.20

SIGNATURES. By signing below, Buyer acknowledges receiving these disclosures on 8/26/2024 ,


before signing the above-described Conditional Sale Contract and Security Agreement (Contract). Buyer
understands that purchasing the above products and services is NOT required. With that understanding, Buyer
requests and consents to including charges for the above products and services in the Contract.
eSigned By:

GRISSEL MARTINEZ
Aug 26, 2024 2:48:18 PM PDT

Buyer GRISSEL MARTINEZ

Buyer

Added Products & Services - California ADD-PROD-CA 3/1/2023


©2023 The Reynolds and Reynolds Company Bankers Systems®
THERE ARE NO WARRANTIES, EXPRESS OR IMPLIED, AS TO CONTENT OR FITNESS FOR PURPOSE OF THIS FORM. CONSULT YOUR OWN LEGAL COUNSEL. Page 1 of 1
NOTICE
This document must be printed using a color
printer. Under California law certain provisions
within a Motor Vehicle Retail Installment Sales
Contract must appear in red.

Failure to print this document with a color printer


may result in liability on your part. The Reynolds
and Reynolds Company is not responsible for any
losses resulting from the failure to print this
document with a color printer.

Retail Installment Contract-CA CA-103-ARB 3/31/2023 RSSIMVLFAZCA 3/31/2023


©2023 The Reynolds and Reynolds Company Not for use in transactions secured by a dwelling. Bankers Systems®
THERE ARE NO WARRANTIES, EXPRESS OR IMPLIED, AS TO CONTENT OR FITNESS FOR PURPOSE OF THIS FORM. CONSULT YOUR OWN LEGAL COUNSEL. cover page
CA-103-ARB 3/31/2023
Conditional Sale Contract and Security Agreement
Seller Name and Address Buyer and Co-Buyer Name(s) and Address(es)
1 Stop Auto Mart GRISSEL MARTINEZ
13631 Harbor Blvd 23452 El Reposa Contract No. App# 94757059 - V# 2
Garden Grove, CA 92843 Aliso Viejo, CA 92656 Date 8/26/2024

Dealer # ROS # Stock #


Primary use of the vehicle is personal, family, or household use unless otherwise indicated: 䡺 Primary use is business, commercial or
agricultural purpose.

Truth-In-Lending Disclosure
Annual Percentage Finance Charge Amount Financed Total of Payments Total Sale Price
Rate The dollar amount the The amount of credit The amount you will The total cost of your
The cost of your credit credit will cost you. provided to you or have paid when you have purchase on credit,
as a yearly rate. on your behalf. made all scheduled including your down
payments. payment of
$ 4500.00 .
26.69 % $ 9841.46 $ 15272.14 $ 25113.60 $ 29613.60

Payment Schedule. Your payment schedule is: (e) means estimate


No. of Payments Amount of Payments When Payments are Due
$
$
$
47 $ 523.20 Monthly, Beginning 10/01/24
1 Final Payment $ 523.20 Maturity Date 09/01/28
Security. You are giving us a security interest in the Property purchased.
Late Charge. If all or any portion of a payment is not paid within 10 days of its due date, you will be charged a late charge of 5% of
the unpaid amount of the payment due.
Prepayment. If you pay off this Contract early, you will not have to pay a penalty.
Contract Provisions. You can see the terms of this Contract for any additional information about nonpayment, default, any required
repayment before the scheduled date, and prepayment refunds and penalties.

Description of Property
New/Used Year Make Model Style Vehicle Identification Number Odometer
Mileage
F150 Pickup
Used 2011 Ford 1FTFW1ET9BFD27952 143602
SuperCrew Cab

Trade-In Description; Payoff Accuracy; Agreement Important Notices


Trade-In Vehicle: Seller Assisted Loans.
You may be required to pledge security for the loan. You will be
Year Make Model obligated for the installment payments on both this Conditional
Sales Contract and the Loan.

Odometer VIN Lender on loan


The payoff amount of your trade-in is shown in 6.B. of the Amount $ N/A Finance Charge $ N/A
Itemization of Amount Financed on Page 2. We relied on N/A
Total $ Payable in N/A installments of
information from you and/or the lienholder or lessor of your
trade-in vehicle to arrive at the amount shown in 6.B. You $ N/A . $ N/A of loan proceeds
understand the payoff amount is an estimate. You agree that if included in item 6.D. of the Itemization of Amount Financed on
the actual payoff amount is greater than the payoff amount Page 2.
shown in 6.B. you will pay us the difference if we ask for it. If
the actual payoff amount is less than the amount shown in 6.B.
we will refund to you any overage we receive from your prior Auto Broker Fee.
lienholder or lessor. Subject to the NOTICE in the Owner If the Vehicle is new, this transaction is not subject
Agreement section of this Contract, any assignee of this
Contract will not be obligated to pay the amount shown in 6.B.
to a fee received by an auto broker from us unless
or any refund. this box is checked:
䡺 Name of auto broker receiving fee:
Buyer: Co-Buyer:

Retail Installment Contract-CA CA-103-ARB 3/31/2023 Inits RSSIMVLFAZCA 3/31/2023


©2023 The Reynolds and Reynolds Company Not for use in transactions secured by a dwelling. GM Bankers Systems®
THERE ARE NO WARRANTIES, EXPRESS OR IMPLIED, AS TO CONTENT OR FITNESS FOR PURPOSE OF THIS FORM. CONSULT YOUR OWN LEGAL COUNSEL. Page 1 of 9
Itemization of Amount Financed (Seller may retain or receive part of the amounts paid to others.)
1. Cash Price Itemization
A. Cash Price (excluding items 1.B to L.3) $ 15995.00
1. Cash Price of Vehicle $ 15995.00
2. Cash Price of Accessories $ N/A
3. Other Other $ N/A
$ N/A
B. Document Processing Charge (not a governmental fee) $ 70.00
C. Emissions Testing Charge (not a governmental fee) $ 50.00
D.1 (Optional) Theft Deterrent Device paid to $ N/A
D.2 (Optional) Theft Deterrent Device paid to $ N/A
D.3 (Optional) Theft Deterrent Device paid to $ N/A
E.1 (Optional) Surface Protection Product paid to $ N/A
E.2 (Optional) Surface Protection Product paid to $ N/A
F. EV Charging Station paid to $ N/A
G.1 Sales Tax (on taxable items in A through F.) $ 1248.92
G.2 Other Taxes $ N/A
H. Electronic Vehicle Registration or Transfer Charge (not a
governmental fee) paid to $ N/A
I.1 (Optional) Service Contract paid to GWC WARRANTY $ 2000.00
I.2 (Optional) Service Contract paid to $ N/A
I.3 (Optional) Service Contract paid to $ N/A
I.4 (Optional) Service Contract paid to $ N/A
I.5 (Optional) Service Contract paid to $ N/A
J. Prior Credit or Lease Balance paid to (e) $
(see down payment and trade-in calculation)
K. Optional Debt Cancellation Agreement or Guaranteed Asset Protection Waiver paid to Seller $ N/A
L.1 (Optional) Used Vehicle Contract Cancellation Option Agreement $ N/A
L.2 Other paid to for $ N/A
L.3 Other paid to for Other Taxable Products $ N/A
M. Total Cash Price (A through L.3) $ 19363.92 (1)
2. Amounts Paid to Public Officials
A. License Fees ESTIMATE $ 399.97
B. Registration/Transfer/Titling Fees ESTIMATE $ N/A
C. California Tire Fees $ N/A
D. Other $ N/A
Total Official Fees (A through D) $ 399.97 (2)
3. Amount Paid to Insurance Companies (See Statement of Insurance, Totals (1) and (2)) $ N/A (3)
4. 䡺 State Emissions Certification Fee or 䡺 State Emissions Exemption Fee (Paid to State) $ 8.25 (4)
5. Subtotal (1 through 4) $ 19772.14 (5)
6. Total Downpayment
A. Agreed Trade-In Value $ N/A
B. Less Prior Credit or Lease Balance (e) $ N/A
C. Net Trade-In (A less B) (indicate if a negative number) $ N/A
D. Deferred Downpayment $ N/A
E. Manufacturer's Rebate $ N/A
F.1 Other $ N/A
F.2 Other $ N/A
F.3 Other $ N/A
F.4 Other $ N/A
G. Cash, Cash Equivalent, Check $ 4500.00
Total Downpayment (C through G) $ 4500.00 (6)
(If negative, enter zero on line 6 and enter the amount less
than zero as a positive number on line 1.J. above)
7. Amount Financed (5 less 6) $ 15272.14 (7)

Retail Installment Contract-CA CA-103-ARB 3/31/2023 Inits RSSIMVLFAZCA 3/31/2023


©2023 The Reynolds and Reynolds Company Not for use in transactions secured by a dwelling. GM Bankers Systems®
THERE ARE NO WARRANTIES, EXPRESS OR IMPLIED, AS TO CONTENT OR FITNESS FOR PURPOSE OF THIS FORM. CONSULT YOUR OWN LEGAL COUNSEL. Page 2 of 9
eligible for disability insurance. DISABILITY INSURANCE MAY
Statement of Insurance NOT COVER CONDITIONS FOR WHICH YOU HAVE SEEN A
NOTICE. No person is required as a condition precedent to DOCTOR OR CHIROPRACTOR IN THE LAST 6 MONTHS.
financing the purchase of an automobile that any insurance be REFER TO THE "TOTAL DISABILITIES NOT COVERED"
negotiated or purchased through a particular insurance agent or SECTION IN YOUR POLICY FOR DETAILS.
broker.
You must insure the Vehicle and other property securing this Sign if you want to buy credit insurance.
Contract. See the Property Insurance section on Page 5 of this
Contract. You are not required to provide any other insurance. Your
decision to buy or not buy other insurance will not be a factor in the N/A
credit approval process.
Date Buyer Age
Property Insurance
Term Premium N/A
$ N/A Ded. Comp., Fire & Theft 0 Mos. $ N/A Date Co-Buyer Age
$ N/A Ded. Collision 0 Mos. $ N/A
Bodily Injury $ limits Mos. $ N/A
THE MINIMUM PUBLIC LIABILITY INSURANCE
Property Damage $ limits Mos. $ N/A LIMITS PROVIDED IN LAW MUST BE MET BY
Medical Mos. $ N/A EVERY PERSON WHO PURCHASES A VEHICLE. IF
Mos. $ N/A YOU ARE UNSURE WHETHER OR NOT YOUR
Total Property Insurance Premiums $ N/A (1) CURRENT INSURANCE POLICY WILL COVER YOUR
NEWLY ACQUIRED VEHICLE IN THE EVENT OF AN
UNLESS A CHARGE IS INCLUDED IN THIS AGREEMENT FOR ACCIDENT, YOU SHOULD CONTACT YOUR
PUBLIC LIABILITY OR PROPERTY DAMAGE INSURANCE, INSURANCE AGENT.
PAYMENT FOR SUCH COVERAGE IS NOT PROVIDED BY THIS
AGREEMENT.
WARNING:
You may buy the required Property Insurance from any company
reasonably acceptable to us. You may also provide the Property
YOUR PRESENT POLICY MAY NOT COVER
Insurance through an existing policy that you own or control that is COLLISION DAMAGE OR MAY NOT PROVIDE FOR
acceptable to us. You are not required to buy any other insurance to FULL REPLACEMENT COSTS FOR THE VEHICLE
obtain credit. BEING PURCHASED. IF YOU DO NOT HAVE FULL
eSigned By:

GRISSEL MARTINEZ COVERAGE, SUPPLEMENTAL COVERAGE FOR


Buyer Aug 26, 2024 2:49:01 PM PDT
COLLISION DAMAGE MAY BE AVAILABLE TO YOU
Co-Buyer eSigned By:
THROUGH YOUR INSURANCE AGENT OR
Juan Carlos Gutierrez
Seller Aug 26, 2024 2:47:06 PM PDT
THROUGH THE SELLING DEALER. HOWEVER,
UNLESS OTHERWISE SPECIFIED, THE COVERAGE
If you purchase any optional credit insurance, then policies or
certificates from the insurer will describe the terms and YOU OBTAIN THROUGH THE DEALER PROTECTS
conditions. ONLY THE DEALER, USUALLY UP TO THE AMOUNT
OF THE UNPAID BALANCE REMAINING AFTER THE
Application for Optional Credit Insurance VEHICLE HAS BEEN REPOSSESSED AND SOLD.
䡺 Credit life: 䡺 Buyer 䡺 Co-Buyer 䡺 Joint
䡺 Credit disability (Buyer) FOR ADVICE ON FULL COVERAGE THAT WILL
Term Exp. Premium
PROTECT YOU IN THE EVENT OF LOSS OR
DAMAGE TO YOUR VEHICLE, YOU SHOULD
Credit life: Mos. $ N/A
CONTACT YOUR INSURANCE AGENT.
Credit disability: Mos. $ N/A
Total credit insurance premiums $ N/A (2)
THE BUYER SHALL SIGN TO ACKNOWLEDGE THAT
Name of insurance company
HE/SHE UNDERSTANDS THESE PUBLIC LIABILITY
TERMS AND CONDITIONS.
Address (home office) eSigned By:

GRISSEL MARTINEZ
S/S Aug 26, 2024 2:49:01 PM PDT S/S
Credit insurance is not required to obtain credit and is not a
factor in our credit decision. We will not provide it unless you
sign and agree to pay the additional premium. If you want
such insurance, we will obtain it for you (if you qualify for
coverage). We have quoted above ONLY the coverages you
have chosen to purchase.
You are applying for the credit insurance marked above. Your [This area intentionally left blank.]
signature below means that you agree that: 1. You are not
eligible for insurance if you have reached your 65th birthday.
2. You are not eligible for disability insurance unless you are
working at least 30 hours a week for wages or profit on the
Effective Date. 3. Only the Buyer, not the Co-Buyer, is

Retail Installment Contract-CA CA-103-ARB 3/31/2023 Inits RSSIMVLFAZCA 3/31/2023


©2023 The Reynolds and Reynolds Company Not for use in transactions secured by a dwelling. GM Bankers Systems®
THERE ARE NO WARRANTIES, EXPRESS OR IMPLIED, AS TO CONTENT OR FITNESS FOR PURPOSE OF THIS FORM. CONSULT YOUR OWN LEGAL COUNSEL. Page 3 of 9
General Terms. You have been given the opportunity to purchase
Optional Additional Protections the Vehicle and described services for the Total Cash Price or the
You may buy or decline the following Debt Cancellation Total Sale Price. The Total Sale Price is the total price of the
Agreement, Guaranteed Asset Protection Waiver, or any of the Vehicle and any services if you buy them over time. You chose
following service or other contracts. They are not required to to purchase the Vehicle and services over time. The Total Sale
obtain credit, are not a factor in the credit decision, and are not a Price shown in the Truth-In-Lending Disclosure assumes that all
factor in the terms of the credit or the related sale of the Vehicle. payments will be made as scheduled. The actual amount you will
These voluntary protections will not be provided unless you sign pay will be more if you pay late and less if you pay early.
and agree to pay the additional charges.
Your signature below means that you want the described item We do not intend to charge or collect, and you do not agree to
and that you have received and reviewed a copy of the pay, any finance charge or fee that is more than the maximum
contract(s) for the optional product(s). If no charge is given for an amount permitted for this sale by state or federal law. If you pay
item, you have declined to purchase any such item. References to a finance charge or fee that is contrary to this provision, we will,
"1.I.1." to "1.I.5.", "1.K.", and "1.L.1." below are to the Itemization of instead, apply it first to reduce the Amount Financed balance,
Amount Financed on Page 2 of this Contract. and when the Amount Financed has been paid in full, refund it to
Service Contract you. You understand and agree that we (or our affiliate) will earn
Company Term Price commissions or fees on any insurance products, and may earn
GWC WARRANTY 24 months or 26500 miles See 1.l.1 such fees on other goods and services that you buy through us or
See 1.l.2 our affiliate.
See 1.l.3 If any section or provision of this Contract is not enforceable, the
See 1.l.4 other terms will remain part of this Contract.
See 1.l.5
The law of California will govern this transaction. Applicable
eSigned By:
federal law and regulations also govern it.
GRISSEL MARTINEZ
Aug 26, 2024 2:49:01 PM PDT
8/26/2024 The entire agreement between you and us is contained in this
Buyer: Date Co-Buyer: Date Contract. There are no unwritten agreements regarding this
Contract. Any change to this Contract must be in writing and
䡺 Debt Cancellation Agreement signed by you and us.
䡺 Guaranteed Asset Protection Waiver Name and Location. Your name and address indicated on Page 1
Term are your exact legal name and your principal residence. You will
See 1.K. provide us with at least 30 days' notice prior to changing your
Price $
name or principal residence.
See the Agreement or Waiver (now made a part of this Contract) for
conditions and exclusions. You agree that the Vehicle will not be used as a dwelling.
䡺 Optional Used Vehicle Contract Cancellation
Prepayment. You may prepay this Contract in full or in part at
Option Agreement Price: See 1.L.1 any time without penalty. Any partial prepayment will not excuse
any later scheduled payments. If we get a refund of any
unearned insurance premiums that you paid, you agree that we
8/26/2024 may subtract the refund from the amount you owe, unless
Buyer: Date Co-Buyer: Date otherwise provided by law.

Ownership and Duties Toward Vehicle. By giving us a security


Additional Terms of this Contract and Security interest in the Vehicle, you represent and agree to the following:
Agreement A. The security interest you are giving us in the Vehicle and
other property comes ahead of the claim of any other of
Finance Charge and Payments. You agree to pay the Amount your general or secured creditors. You agree to sign any
Financed and Finance Charge as provided in the Payment additional documents or provide us with any additional
Schedule in the Truth-In-Lending Disclosure on Page 1 of information we may require to keep our claim to the
this Contract. You also agree to pay the Late Charge described Vehicle and other property ahead of the claim of anyone
on Page 1, and all other amounts required under this Contract. else. You will not do anything to change our interest in the
Finance Charge will be computed each day. Finance Charge is Vehicle and other property.
computed at the Annual Percentage Rate shown on Page 1 of B. You will defend our interests in the Vehicle and other
this Contract. We may apply each payment to the Finance property against claims made by anyone else. You will do
Charge, the unpaid part of the Amount Financed, and other whatever is necessary to keep our claim to the Vehicle and
amounts due under this Contract in any order we choose. other property ahead of the claim of anyone else.
C. You will keep the Vehicle in your possession in good
Security. To secure your payment and performance under the condition and repair. You will use the Vehicle for its
terms of this Contract, you give us a security interest in the intended and lawful purposes. You agree not to remove the
Vehicle, all accessions, attachments, accessories, and equipment Vehicle from the U.S. or Canada, or to sell, rent, lease, or
placed in or on the Vehicle, and all proceeds. You also assign to transfer any interest in the Vehicle or this Contract without
us and give us a security interest in proceeds and refunds under our written permission. You agree to keep the Vehicle free
any insurance policy, service contract or other contract from seizure, confiscation, or involuntary transfer. Unless
purchased with this Contract as the law allows. otherwise agreed in writing, the Vehicle will be located
primarily at your address listed on Page1 of this Contract.

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D. You will pay all taxes and assessments on the Vehicle as By choosing any one or more of these remedies, we do not waive
they become due. our right to later use another remedy. By deciding not to use any
E. You will notify us of any loss or damage to the Vehicle. remedy, we do not give up our right to consider the event a
You will provide us reasonable access to the Vehicle for the default if it happens again. You agree that, subject to your right
purpose of inspection. Our entry and inspection must be to recover such property, we may take possession of personal
accomplished lawfully, and without breaching the peace. property left in or on the Vehicle securing this Contract and taken
into possession as provided above.
Default. You will be in default on this Contract if any one of the
following occurs (except as prohibited by law): If the Vehicle has an electronic tracking device, you agree that
A. You fail to perform any obligation that you have undertaken we may use the device to find the Vehicle.
in this Contract.
B. You fail to pay all you owe under this Contract if the Returned Check Charge. You may be liable for collection costs
Vehicle becomes a total loss or is missing or stolen. incurred in connection with this Contract. This includes a fee, not
C. You give inaccurate, incomplete, or misleading information to exceed $15, for each check, share draft or negotiable order of
on your credit application or in this Contract (See the withdrawal offered as payment that is returned dishonored by a
Information You Provide to Us section of this Contract). depository institution.
If you default, you agree to pay our costs for collecting amounts
owing, including, without limitation, court costs, attorneys' fees, Property Insurance. You agree to buy property insurance on the
and fees for repossession, repair, storage and sale of the Vehicle Vehicle protecting against loss and physical damage and
securing this Contract. otherwise acceptable to us. You will name us as loss payee on
If an event of default occurs as to any one of you, we may any such policy. In the event of loss or damage to the Vehicle,
exercise our remedies against any or all of you. we may require additional security or assurances of payment
Gap Liability Notice. In the event of theft or damage to your before we allow insurance proceeds to be used to repair or
Vehicle that results in a total loss, there may be a gap between replace the Vehicle. You agree that if the insurance proceeds do
the amount you owe under this Contract and the proceeds of not cover the amounts you still owe us, you will pay the
your insurance settlement and deductible. THIS CONTRACT difference. You may purchase or provide the insurance through
PROVIDES THAT YOU ARE LIABLE FOR THE GAP AMOUNT. any insurance company reasonably acceptable to us. You will
An optional debt cancellation agreement or guaranteed asset keep the insurance in full force and effect until this Contract is
protection waiver may be offered for an additional charge. paid in full. If you fail to obtain or maintain this insurance, or
name us as a loss payee, we may obtain insurance to protect our
Remedies. If you default on this Contract, we may exercise the interest in the Vehicle or, at our option, your and our interests in
remedies provided by law and this Contract subject to any right the Vehicle. This insurance may include coverages not required of
the law gives you to reinstate this Contract. Those remedies you. This insurance may be written by a company other than one
include: you would choose. It may be written at a rate higher than a rate
A. We may require you to immediately pay us, subject to any you could obtain if you purchased the property insurance required
refund or reinstatement rights, the remaining unpaid by this Contract. We will add the premium for this insurance to
balance of the Amount Financed, finance charges and all the amount you owe us. Any amount we pay will be due
other agreed charges. immediately. This amount will earn finance charges from the date
B. We may pay taxes, assessments, or other liens or make
paid at the Annual Percentage Rate stated in the Truth-In-Lending
repairs to the Vehicle if you have not done so. We are not
Disclosure of this Contract or, at our option, the highest rate the
required to do so. You will repay us that amount when we
law permits.
tell you to do so. That amount will earn finance charges
from the date we pay it at the Annual Percentage Rate Obligations Independent. Each person who signs this Contract
stated in the Truth-In-Lending Disclosure of this Contract, agrees to pay this Contract according to its terms. This means
not to exceed the highest rate permitted by law. the following:
C. We may require you to make the Vehicle available to us at
A. You must pay this Contract even if someone else has also
a place we designate that is reasonably convenient to you
signed it.
and us.
B. We may release any Co-Buyer or Guarantor and you will
D. We may immediately take possession of the Vehicle by
still be obligated to pay this Contract.
legal process or self-help, but in doing so we may not
C. We may release any security and you will still be obligated
breach the peace or unlawfully enter onto your premises.
to pay this Contract.
We may then sell the Vehicle and apply what we receive as
provided by law to our reasonable expenses and then D. If we give up any of our rights, it will not affect your duty
toward your obligations. Our reasonable expenses can to pay this Contract.
include, among other things, costs of repossession, E. If we extend new credit, it will not affect your duty to pay
storage, sale preparation, and sale. this Contract.
E. If the Vehicle is repossessed, a total loss, confiscated or
Telephone Monitoring and Calling. You agree that we may from
stolen, we may claim benefits under or cancel any
time to time monitor and record telephone calls made or received
insurance, maintenance, service, or other contract
purchased under this Contract and use the resulting by us or our agents regarding your account to assure the quality
proceeds or refund of unearned charges to reduce what you of our service. In order for us to service the account or to collect
owe under this Contract. any amounts you may owe, and subject to applicable law, you
F. Except when prohibited by law, we may sue you for agree that we may from time to time make calls and send text
remaining amounts if the proceeds of a sale do not pay all messages to you using prerecorded/artificial voice messages or
of the amounts you owe us. You will pay interest on these through the use of an automatic dialing device at any telephone
remaining amounts until paid at the Annual Percentage Rate number you provide to us in connection with your account,
shown on Page 1 of this Contract, not to exceed the including a mobile telephone number that could result in charges
highest rate permitted by law. to you.

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Information You Provide to Us. We have based our decision to the date that the rejection or the acceptance of the
enter into the Contract on the information you supplied in any partial disability claim is sent to pay past due
credit applications and in this Contract, including the payoff payments, or the difference between past due
amount on any trade-in. We relied on the information because
payments and what the insurance company pays for
you assured us it is accurate. You now repeat that assurance,
and you warrant and represent as follows:
the partial disability, plus late charges. You can
◆ All that information is accurate, complete and not contact us, and we will tell you how much you owe.
misleading. After that time, we can take action to collect or
◆ You believe that information will remain correct and will not foreclose or repossess any collateral you may have
change. You have no reason to suspect otherwise. given.
◆ Unless you tell us in writing before you sign this Contract,
Buyer and Co-Buyer will each use and own the Vehicle, If the insurance company accepts your claim but
even if that is not shown on the vehicle title. requires that you send in additional forms to remain
You will provide us with documents and other information we eligible for continued payments, you should send in
request to verify that any items of that information are correct. these completed additional forms no later than
Our Warranties: UNLESS WE AS SELLER, IN A SALE FOR required. If you do not send in these forms on time,
PERSONAL USE, EITHER EXTEND A WRITTEN the insurance company may stop paying, and we will
WARRANTY OR SERVICE CONTRACT WITHIN 90 DAYS then be able to take action to collect or foreclose or
OF THE DATE OF THIS CONTRACT, OR SELL THE repossess any collateral you may have given.
VEHICLE WITH A WRITTEN WARRANTY, THERE ARE NO
WARRANTIES, EXPRESS OR IMPLIED, CONCERNING THE Owner Agreement
VEHICLE, INCLUDING IMPLIED WARRANTIES OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR (This section applies ONLY to a person who will have an
PURPOSE. ownership interest in the Property but is NOT a Buyer obligated
to pay this Contract ("Third Party Owner").)
This provision does not affect any warranties of the In this section only, "you" means only the person signing this
Vehicle provided by the vehicle manufacturer. If the section.
Vehicle was sold as a certified used vehicle, the warranty By signing below you agree to give us a security interest in the
of merchantability is not disclaimed. Property described in the Description of Property section. You
also agree to the terms of this Contract except that you will not
Claim Procedure be liable for the payments it requires. Your Interest in the
Property may be used to satisfy the Buyer's obligation. You agree
If you have purchased credit disability insurance in that we may renew, extend or change this Contract, or release
connection with this Contract, the following claim any party or Property without releasing you from this Contract.
procedure applies. We may take these steps without notice or demand upon you.
You acknowledge receipt of a completed copy of this Contract.
If you become disabled, tell us (your creditor) right
away. (We advise you to send this information to the
N/A
same address to which you are normally required to
send your payments, unless a different address or By: Date
telephone number is given to you in writing by us Signature of Third Party Owner (NOT the Buyer)
as the location where we would like to be notified.)
We will tell you where to get claim forms. Send in
Holder Notice
the completed form to the insurance company as
soon as possible and tell us as soon as you do. Note: If the primary use of the Vehicle is not personal, family or
household use, then this is not a consumer contract, and the
If your disability insurance covers all of your missed following notice does not apply.
payments, WE CANNOT TRY TO COLLECT WHAT
YOU OWE OR FORECLOSE UPON OR REPOSSESS NOTICE: ANY HOLDER OF THIS CONSUMER
ANY COLLATERAL UNTIL THREE CALENDAR CREDIT CONTRACT IS SUBJECT TO ALL CLAIMS
MONTHS AFTER your first missed payment is due or AND DEFENSES WHICH THE DEBTOR COULD
until the insurance company pays or rejects your ASSERT AGAINST THE SELLER OF GOODS OR
claim, whichever comes first. We can, however, try SERVICES OBTAINED PURSUANT HERETO OR
to collect, foreclose, or repossess if you have money WITH THE PROCEEDS HEREOF. RECOVERY
due and owing us or are otherwise in default when HEREUNDER BY THE DEBTOR SHALL NOT EXCEED
your disability claim is made or if a senior mortgage AMOUNTS PAID BY THE DEBTOR HEREUNDER.
or lien holder is foreclosing.
If the insurance company pays the claim within the
three calendar months, we must accept the money
as though you paid on time. If the insurance
[This area intentionally left blank.]
company rejects the claim within the three calendar
months or accepts the claim within the three
calendar months as a partial disability and pays less
than for a total disability, you will have 35 days from

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GM
THERE ARE NO WARRANTIES, EXPRESS OR IMPLIED, AS TO CONTENT OR FITNESS FOR PURPOSE OF THIS FORM. CONSULT YOUR OWN LEGAL COUNSEL. Page 6 of 9
The arbitration hearing will be conducted in the federal district where
Used Car Buyer's Guide
you reside unless you and we otherwise agree. Or, if you and we agree,
Used Car Buyer's Guide. The information you see on the window the arbitration hearing can be by telephone or other electronic
form for this Vehicle is part of this Contract. Information on the communication. The arbitration filing fee, arbitrator's compensation and
window form overrides any contrary provisions in the contract of other arbitration costs will be paid in the amounts and by the parties
sale. according to the rules of the chosen arbitration organization. Some
arbitration organizations' rules require us to pay most or all of these
Guía para compradors de vehículos usados amounts. If the rules of the arbitration organization do not specify how
Guía para compradors de vehículos usados. La información que fees must be allocated, we will pay the filing fee, arbitrator's
aparece en la ventanilla de este vehículo forma parte de este compensation, and other arbitration costs up to $5,000, unless the law
contrato. La información contenida en el formulario de la requires us to pay more. Each party is responsible for the fees of its
ventanilla anula cualquier estipulación que establezca lo contrario own attorneys, witnesses, and any related costs, if any, that it incurs to
y que aparezca en el contrato de venta. prepare and present its Claim or response. In limited circumstances,
the arbitrator may have the authority to award payment of certain
Arbitration Provision arbitration costs or fees to a party, but only if the law and arbitration
organization rules allow it.
PLEASE READ CAREFULLY! By agreeing to this An arbitrator must be a lawyer with at least ten (10) years of experience
Arbitration Provision you are giving up your right to and familiar with consumer credit law or a retired state or federal court
go to court for claims and disputes arising from this judge. The arbitration will be by a single arbitrator. In making an award,
Contract: an arbitrator shall follow governing substantive law and any applicable
◆ EITHER YOU OR WE MAY CHOOSE TO HAVE statute of limitations. The arbitrator will decide any dispute regarding the
ANY DISPUTE BETWEEN YOU AND US arbitrability of a Claim. An arbitrator has the authority to order specific
DECIDED BY ARBITRATION, AND NOT BY A performance, compensatory damages, punitive damages, and any other
COURT OR BY JURY TRIAL. relief allowed by applicable law. An arbitrator's authority to make awards
◆ YOU GIVE UP ANY RIGHT THAT YOU MAY is limited to awards to you or us alone. Claims brought by you against
HAVE TO PARTICIPATE AS A CLASS us, or by us against you, may not be joined or consolidated in
REPRESENTATIVE OR CLASS MEMBER IN ANY arbitration with claims brought by or against someone other than you,
CLASS ACTION OR CLASS ARBITRATION unless agreed to in writing by all parties. No arbitration award or
AGAINST US IF A DISPUTE IS ARBITRATED. decision will have any preclusive effect as to issues or claims in any
◆ IN ARBITRATION, DISCOVERY AND RIGHTS TO dispute with anyone who is not a named party to the arbitration.
APPEAL ARE GENERALLY MORE LIMITED THAN Any arbitration award shall be in writing, shall include a written
IN A JUDICIAL PROCEEDING, AND OTHER reasoned opinion, and will be final and binding subject only to any right
RIGHTS THAT YOU WOULD HAVE IN COURT to appeal under the Federal Arbitration Act ("FAA"), 9 U.S. Code
MAY NOT BE AVAILABLE. Sections 1, et seq. Any court having jurisdiction can enforce a final
You or we (including any assignee) may elect to resolve any Claim by arbitration award. You and we agree that this Arbitration Provision is
neutral, binding arbitration and not by a court action. "Claim" means any governed by the FAA to the exclusion of any different or inconsistent
claim, dispute or controversy between you and us or our employees, state or local law.
agents, successors, assigns or affiliates arising from or relating to: 1. the You or we can do the following without giving up the right to require
credit application; 2. the purchase of the Property; 3. the condition of the arbitration: seek remedies in small claims court for Claims within the
Property; 4. this Contract; 5. any insurance, maintenance, service or small claims court's jurisdiction, or seek judicial provisional remedies. If
other contracts you purchased in connection with this Contract; or 6. any a party does not exercise the right to elect arbitration in connection with
related transaction, occurrence or relationship. This includes any Claim any particular Claim, that party still can require arbitration in connection
based on common or constitutional law, contract, tort, statute, regulation with any other Claim.
or other ground. To the extent allowed by law, the validity, scope and
interpretation of this Arbitration Provision are to be decided by neutral, This Arbitration Provision survives any (i) termination, payoff,
binding arbitration. assignment or transfer of this Contract, (ii) any legal proceeding by you
or us to collect a debt owed by the other, and (iii) any bankruptcy
If either party elects to resolve a Claim through arbitration, you and we
proceeding in which you or we are the debtor. With but one exception, if
agree that no trial by jury or other judicial proceeding will take place.
any part of this Arbitration Provision is deemed or found to be
Instead, the Claim will be arbitrated on an individual basis and not on a
unenforceable for any reason, the remainder of this Arbitration Provision
class or representative basis.
will remain in full force and effect. The one exception is that if a finding
The party electing arbitration may choose either of the following of partial unenforceability would allow arbitration to proceed on a class-
arbitration organizations and its applicable rules, provided it is willing wide basis, then this Arbitration Provision will be unenforceable in its
and able to handle the arbitration: American Arbitration Association entirety.
([Link]) or JAMS ([Link]), or they may choose any
other reputable arbitration organization and its rules to conduct the PROCESS TO REJECT THIS ARBITRATION PROVISION. You may
arbitration, subject to the other party's approval. The parties can get a reconsider and reject your approval of this Arbitration Provision by
copy of the organization's rules by contacting it or visiting its website. If sending a written notice to the Assignee (identified in the Assignment
the chosen arbitration organization's rules conflict with this Arbitration section) or if there is no Assignee, then to Seller. The notice must be
Provision, the terms of this Arbitration Provision will govern the Claim. postmarked within 30 days of the date you signed this Contract. It simply
However, to address a conflict with the selected arbitration needs to state your decision to reject the Arbitration Provision in this
organization's rules, the parties may agree to change the terms of this Contract and include your signature. It must also provide your name,
Arbitration Provision by written amendment signed by the parties. If the Seller's name and the date of this Contract. Rejecting this Arbitration
parties are not able to find or agree upon an arbitration organization that Provision will NOT affect the terms under which we will finance and
is willing and able to handle the arbitration, then the arbitrator will be sell the Property to you or any other terms of this Contract, except
selected pursuant to 9 U.S. Code Sections 5 and 6. that the Arbitration Provision will not apply.

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CAUTION: It is important that you read this Additional Important Notices
Arbitration Provision thoroughly before you sign this
Contract. By signing this Contract, you acknowledge Notice of Complaints. If you have a complaint concerning this
that you read, understand and agree to this sale, you should try to resolve it with the seller.
Arbitration Provision. If you do not understand this Complaints concerning unfair or deceptive practices or methods
Arbitration Provision, do not sign this Contract; by the seller may be referred to the city attorney, the district
instead ask your lawyer. If you approve this attorney, or an investigator for the Department of Motor
Arbitration Provision, you have an additional 30 days Vehicles, or any combination thereof.
after signing to reconsider and reject your approval, After this contract is signed, the seller may not change the
as described above. If you use that process to reject, financing or payment terms unless you agree in writing to the
this Arbitration Provision will not be a part of this change. You do not have to agree to any change, and it is an
unfair or deceptive practice for the seller to make a unilateral
Contract, but the rest of this Contract will still be change.
binding and effective.
Right of Seller to Cancel eSigned By:

GRISSEL MARTINEZ
If you sign the Right of Seller to Cancel in the Signatures section Aug 26, 2024 2:49:01 PM PDT

of this Contract, you agree to the following: Buyer Co-Buyer


◆ You acknowledge that it may take a few days for the Seller GRISSEL MARTINEZ
to verify your credit and assign the Contract to a financial
institution.
◆ If the Seller is unable to get a financial institution it regularly Waiver of Confidentiality. California Vehicle Code Section
does business with to accept an assignment of the Contract 1808.21 provides, among other things, that your resident
on terms that are satisfactory to the Seller, the Seller may address in any record of the California Department of Motor
elect to cancel (rescind) the Contract by giving you a notice Vehicles is confidential.
of cancellation within 10 days after the date you signed this
Contract. You waive this provision and authorize the California
◆ Upon receipt of a notice of the cancellation within 10 days Department of Motor Vehicles to furnish your residence address
after you signed this Contract, you agree to immediately to us.
return the Vehicle to the Seller free of all liens apart from this
Contract in the same condition as it was in when you eSigned By:

received it, except for reasonable wear and tear. GRISSEL MARTINEZ
◆ After you return the Vehicle, the Seller agrees to return to
Aug 26, 2024 2:49:01 PM PDT

Buyer Co-Buyer
you any trade-in vehicle and all amounts you paid to the
GRISSEL MARTINEZ
Seller under this Contract.
◆ You agree that, if you do not immediately return the Vehicle
to the Seller, the Seller will be entitled to recover all amounts
you owe the Seller under this Contract to the extent Arbitration Provision and Process to Remove
permitted by law. This Contract contains an Arbitration Provision that affects your
◆ You also agree that, if you do not immediately return the rights. By signing this Contract, you agree that either of us may
Vehicle to the Seller, the Seller will be entitled to repossess request and require the other to resolve disputes or claims
the Vehicle, and you will pay the Seller all its expenses through arbitration instead of a lawsuit. The Arbitration Provision
includes a process you can follow in the next 30 days if you
(including attorneys' fees) incurred in repossessing the
reconsider and want to reject the Arbitration Provision.
Vehicle, to the extent permitted by law. By initialing this section, you confirm that you read, understand
◆ You agree that, until the Seller receives the Vehicle back from and agree to the Arbitration Provision in this Contract, including
you, you will continue to have all the Buyer's obligations the process to reject it.
under this Contract, including, but not limited to, the Inits

provisions regarding insurance and use of the Vehicle; you GM


will have all the risk of loss or damage to the Vehicle; and Buyer initials:
you will be responsible for any injuries or property damage
caused by use of the Vehicle.
◆ You agree that if the Vehicle is damaged before it is retuned
to the Seller you will pay the Seller the cost of repairing it.
◆ You agree that the provisions of this "Right of Seller to
Cancel" will continue to be effective even after this contract
is cancelled.

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Acknowledgment for Electronic Signatures You agree to the terms of this Contract. By signing
below, you become legally obligated to perform

X Electronic Signature Acknowledgment. You agree that (i) you the terms of this Contract and acknowledge that
viewed and read this entire Contract before signing it, (ii) you
signed this Contract with one or more electronic signatures, (1) before you signed it, we gave you the completely
(iii) you intend to enter into this Contract and your electronic filled-in Contract and you had a chance to take it
signature has the same effect as your written ink signature, and thoroughly read and review it, and (2) you
(iv) you received a paper copy of this Contract after it was
signed, and (v) the authoritative copy of this Contract shall reside received a completely filled-in copy of the Contract.
in a document management system held by Seller in the ordinary
course of business. You understand that Seller may transfer this
Contract to another company in the electronic form or as a paper THERE IS NO COOLING OFF PERIOD
version of that electronic form which would then become the
authoritative copy. Seller or that other company may enforce this
UNLESS YOU OBTAIN A CONTRACT
Contract in the electronic form or as a paper version of that CANCELLATION OPTION.
electronic form. You may enforce the paper version of the
Contract copy that you received. California law does not provide for a "cooling off"
Notice To Buyer. or other cancellation period for vehicle sales.
(1) Do not sign this agreement before you read it or Therefore, you cannot later cancel this contract
if it contains any blank spaces to be filled in. (2) You simply because you change your mind, decide the
are entitled to a completely filled-in copy of this vehicle costs too much, or you wish you had
agreement. (3) You can prepay the full amount due acquired a different vehicle. After you sign below,
under this agreement at any time. (4) If you default you may only cancel this contract with the
in the performance of your obligations under this agreement of the seller or for legal cause, such as
agreement, the vehicle may be repossessed and you fraud.
may be subject to suit and liability for the unpaid
indebtedness evidenced by this agreement. However, California law does require a seller to
䡺 If this box is checked, you will owe no Finance Charge if you offer a two-day contract cancellation option on
pay the Amount Financed on or before (date) used vehicles with a purchase price of less than
Seller's initials . forty thousand dollars ($40,000), subject to
certain statutory conditions. This contract
Signatures cancellation option requirement does not apply to
Changes to this Contract must be in writing and signed by both the sale of a recreational vehicle, a motorcycle or
you and our authorized representative. Oral changes are not an off-highway motor vehicle subject to
binding. identification under California law. See the vehicle
eSigned By:
contract cancellation option agreement for details.
GRISSEL MARTINEZ
Aug 26, 2024 2:49:01 PM PDT
Buyer signs Co-Buyer signs

Buyer Co-Buyer

The Annual Percentage Rate may be negotiable eSigned By:

GRISSEL MARTINEZ
with the Seller. The Seller may assign this Aug 26, 2024 2:49:01 PM PDT
8/26/2024
Contract and retain its right to receive a part of GRISSEL MARTINEZ Date Date
the Finance Charge.
Seller 1 Stop Auto Mart
Right of Seller to Cancel. By signing below, you agree that the eSigned By:

Right of Seller to Cancel section of this Contract will apply. This


provision gives us the right to cancel this Contract if we are
Juan Carlos Gutierrez Aug 26, 2024 2:47:06 PM PDT 8/26/2024
unable to assign the Contract. By: Date
eSigned By:

GRISSEL MARTINEZ Assignment. This Contract and Security Agreement is assigned to


Aug 26, 2024 2:49:01 PM PDT Westlake Financial
Buyer Co-Buyer 4751 Wilshire Blvd Ste 100 Los Angeles CA 90010 ,
the Assignee, phone (800) 641-6700 . This assignment is
made under the terms of a separate agreement made between the
Seller and Assignee. 䡺 This Assignment is made with recourse.

Seller 1 Stop Auto Mart


eSigned By:

Juan Carlos Gutierrez 8/26/2024


Aug 26, 2024 2:47:06 PM PDT

By: Date

Retail Installment Contract-CA CA-103-ARB 3/31/2023 RSSIMVLFAZCA 3/31/2023


©2023 The Reynolds and Reynolds Company Not for use in transactions secured by a dwelling. Bankers Systems®
THERE ARE NO WARRANTIES, EXPRESS OR IMPLIED, AS TO CONTENT OR FITNESS FOR PURPOSE OF THIS FORM. CONSULT YOUR OWN LEGAL COUNSEL. Page 9 of 9
Buyer's Order
Dealer/Seller Name and Address Buyer/Co-Buyer Name(s) and Address(es)
1 Stop Auto Mart GRISSEL MARTINEZ
13631 Harbor Blvd 23452 El Reposa
Garden Grove, CA 92843 Aliso Viejo, CA 92656
(714) 531-4200 (949) 520-8557

Date 8/26/2024 Stock No. Salesperson


App No. Contract No. App# 94757059 - V# 2

Vehicle Information Itemization of Sale


l New X Used
l l Demo 1. Vehicle Sales Price $ 15995.00
Year 2011 Lic. No. 2. Sales Tax $ 1248.92
Make Ford Odometer Reading 143602 3. Subtotal (Add lines 1+2) $ 17243.92
Model F150 SuperCrew CabColor Title, License & Other Fees
Body Style Pickup 4. 1 Stop Auto Mart for Doc Fee $ 70.00
VIN 1FTFW1ET9BFD27952 5. License $ 399.97
Other 6. Registration/Transfer $ N/A
7. DMV Electronic Filing $ N/A
Insurance Information 8. $ N/A
Buyer has arranged insurance on the motor vehicle. 9. California Tire $ N/A
Insurance Company 10. Smog Fee $ 50.00
Policy No. 11. Smog Certificate $ 8.25
12. Contract Cancellation $ N/A
Trade-In Information 13. $ N/A
Trade-in 1 14. $ N/A
Year Lic. No. 15. Total Other Fees $ 528.22
Make Odometer Reading (Add lines 4 through 14)
Model Color Additional Products
Body Style 16. ServiceContract - GWC WARRANTY $ 2000.00
VIN 17. $ N/A
Lienholder Name 18. $ N/A
Address 19. $ N/A
20. $ N/A
Phone Payoff N/A 21. $ N/A
Payoff good through 22. $ N/A
Approved 23. $ N/A
24. Total Products $ 2000.00
Trade-in 2 (Add lines 16 through 23)
Year Lic. No. 25. Cash Sale Price (Add lines 3+15+24) $ 19772.14
Make Odometer Reading 26. Trade-in Allowance $ N/A
Model Color 27. Less Payoff $ N/A
Body Style 28. Net Trade Allowance (Line 26-27) $ N/A
VIN 29. Cash Down Payment $ 4500.00
Lienholder Name 30. Deferred Down Payment $ N/A
Address 31. Total Down Payment $ 4500.00
(Line 28+29+30)
Phone Payoff N/A 32. Total Balance Due (Line 25-31) $ 15272.14
Payoff good through
Approved Westlake Financial
4751 Wilshire Blvd Ste 100
Los Angeles, CA 90010

Inits
Buyers Order BUY-ORDER 2/14/2012
GM Page 1 of 3
®
©2017 The Reynolds and Reynolds Company
THERE ARE NO WARRANTIES, EXPRESS OR IMPLIED, AS TO CONTENT OR FITNESS FOR PURPOSE OF THIS FORM. CONSULT YOUR OWN LEGAL COUNSEL.
Additional Terms Trade-in Vehicle. You will transfer title to the Trade-in Vehicle
to us free of all liens except those noted on this Contract. You
Definitions. Contract refers to this Buyer's Order. The pronouns give permission to us to contact the lienholder(s) for payoff
information. If the payoff information that we obtain from the
you and your refer to each Buyer signing this Contract. The
lienholder(s) differs from the amount disclosed in this Contract,
pronouns we, us and our refer to the Dealer/Seller. Vehicle
you agree to pay the difference to us if the actual amount of
means the motor vehicle described in the Vehicle Information the balance owed is greater than the amount listed in this
section. Trade-in Vehicle(s) refers to the vehicle described in Contract. If the actual amount of the balance owed is less than
the Trade-in Information section that is being traded to the the amount listed in this Contract, then we will pay you the
Dealer/Seller as part of this transaction. Manufacturer refers to difference.
the entity that manufactured the Vehicle.
If you do not deliver the Trade-in Vehicle to us at the time of
Agreement to Purchase. You agree to buy the Vehicle from us the initial appraisal, we may reappraise the Trade-in Vehicle
for the price stated in this Contract. You agree to sign any when it is delivered to us. If the reappraised value is lower than
documents necessary to complete this transaction. Unless you the original appraisal, you can cancel this transaction as long
have cancelled this Contract under the condition described in as you have not taken delivery of the Vehicle.
the Manufacturer section, if you refuse to take delivery of the
Vehicle, we can keep any deposits you have made to us, and You represent that (a) you are the sole true and lawful owner
you will be liable to us for all of our damages and expenses in of the Trade-in Vehicle, (b) the Trade-in Vehicle has never been
connection herewith, including but not limited to reasonable titled under any state or federal "brand" such as "defective,"
attorneys' fees. "rebuilt," "salvage," "flood," etc., (c) the mileage of the
Trade-in Vehicle shown in this Contract is the actual mileage of
the Trade-in Vehicle, (d) all emission control equipment is on
You represent that you are of legal age and have legal capacity
the Trade-in Vehicle and is in satisfactory working order, and
to enter into this Contract. (e) the Trade-in Vehicle has not been damaged by collision or
other event and repaired. If any of these representations are
Manufacturer. We are not an agent of the Manufacturer. not true, we may elect to cancel the transaction. We may also
Manufacturer can change the price, design or standard features choose to reappraise the Trade-in Vehicle and adjust the Total
of the Vehicle at any time without notice. If we cannot obtain Balance Due instead of cancelling the transaction. You agree to
the Vehicle from the Manufacturer at the price in effect as of immediately pay us the difference.
the date of this Contract, or if we cannot obtain the agreed
upon product from the Manufacturer, you or we can cancel this Retail Installment Contract. In the event that you and we enter
Contract. into a retail installment contract for the financing of the
purchase of the Vehicle, the terms of the retail installment
If you cancel this Contract under the terms of this section, we contract will control any inconsistencies between this Contract
will refund to you any amounts you have paid to us. If you and the retail installment contract.
have delivered a Trade-in Vehicle to us, we will return it to
you. If we have already sold the Trade-in Vehicle, we will pay Vehicle Inspection. You are purchasing the Vehicle based upon
you the trade-in allowance after adjusting for any payoff to a your personal inspection, and are not relying upon any opinion,
statement, promise or representation of the salesperson, or any
lienholder.
other of our employees that is not contained in the written
agreements you are signing today.
Insurance. The insurance information you have given us is
accurate. Vehicle Condition. You understand that the Vehicle may have
sustained prior body damage and may have undergone prior
mechanical repairs during or after its manufacture, during or
after transit to us or while in the possession of prior owners or
operators.

Buyers Order BUY-ORDER 2/14/2012

Page 2 of 3
®
©2017 The Reynolds and Reynolds Company
THERE ARE NO WARRANTIES, EXPRESS OR IMPLIED, AS TO CONTENT OR FITNESS FOR PURPOSE OF THIS FORM. CONSULT YOUR OWN LEGAL COUNSEL.
Warranty Information Signatures
Warranty. We make no express or implied warranties. Except This agreement is not binding upon the Dealer\Seller until it is
as required by law, we make no implied warranty of signed by an authorized representative of the Dealer\Seller.
merchantability and no warranty that the Vehicle is fit for a
particular purpose. We sell the Vehicle AS IS - NOT By signing below, you agree to the terms of this Contract. You
EXPRESSLY WARRANTED OR GUARANTEED, WITH ALL received a copy of this Contract and had a chance to read and
FAULTS. review it before you signed it. This is the complete agreement;
If this is a new Vehicle, the Vehicle is subject to a standard there are no other written or oral agreements.
written manufacturer's warranty. This warranty is made by the
manufacturer and not by us. l A separate Arbitration Agreement is a part of this Contract.
eSigned By:
Used Car Buyer Notice. If you are buying a used vehicle, the
information you see on the window form for this Vehicle is part GRISSEL MARTINEZ 8/26/2024
of this Contract. Information on the window form overrides any Aug 26, 2024 2:49:08 PM PDT

contrary provisions in the contract of sale. GRISSEL MARTINEZ Date

Guía para compradors de vehículos usados. La información que


ve en el formulario de la ventanilla para este vehículo forma
parte del presente contrato. La información del formulario de la
ventanilla deja sin efecto toda disposición en contrario
contenida en el contrato de venta.
Date

Notices
l You understand that the balance owed on the Trade-in
exceeds the Trade-in Allowance and that as a result the Total
Balance Due has been increased by this $ N/A
of negative equity. Date

eSigned By:

Juan Carlos Gutierrez 8/26/2024


Aug 26, 2024 2:47:09 PM PDT

Dealer\Seller 1 Stop Auto Mart Date

Buyers Order BUY-ORDER 2/14/2012

Page 3 of 3
®
©2017 The Reynolds and Reynolds Company
THERE ARE NO WARRANTIES, EXPRESS OR IMPLIED, AS TO CONTENT OR FITNESS FOR PURPOSE OF THIS FORM. CONSULT YOUR OWN LEGAL COUNSEL.
CONTRACT CANCELLATION OPTION AGREEMENT
Buyer Name and Address Co-Buyer Name and Address
GRISSEL MARTINEZ
23452 El Reposa
Aliso Viejo, CA 92656
Dealer Name and Address Vehicle Delivery Date Odometer Reading
1 Stop Auto Mart
13631 Harbor Blvd 8/26/2024 143602
Garden Grove, CA 92843
Vehicle Description
2011 Ford F150 SuperCrew Cab 1FTFW1ET9BFD27952
Year Make Model Vehicle Identification Number

Cancellation Option Purchase Price Maximum Miles Driven Restocking Fee Cancellation Deadline – Date and Time

250.00 250 500.00 8/29/2024 2:46 PM


DECLINE CONTRACT CANCELLATION OPTION
(Only sign here if you do NOT want to purchase a contract cancellation option)
You were offered but have refused to purchase a contract cancellation option. By signing here, you voluntarily decline this option and forego
the right it provides to cancel your vehicle purchase.
eSigned By:

GRISSEL MARTINEZ 8/26/2024


_______________________________________ Aug 26, 2024 2:49:12 PM PDT ______________________________________
Buyer's Signature Date Co-Buyer's Signature Date

ACCEPT CONTRACT CANCELLATION OPTION


(Only sign here if you want to purchase a contract cancellation option)
1. Cancellation Option: You agree that If you purchase this Contract Cancellation Option (“Option”), you have the right to cancel your
purchase of the above referenced vehicle (“Vehicle”) and obtain a full refund, less the Restocking Fee. The purchase price of this Option will
be applied towards the Restocking Fee above. The price of this Option is otherwise nonrefundable. If this Option is exercised you will receive
a full refund of any down payment in the method it was paid to us. If there was a trade-in vehicle, it will be returned to you. If the Dealer no
longer own the trade-in vehicle, then they will refund you the value of the trade-in vehicle listed on your Retail Installment Sales contract.

2. Cancellation Option Period: You agree that if you exercise the Option, you must do so before the Cancellation Deadline Date and Time
listed above. You may not exercise this option after the Cancellation deadline or if the Vehicle’s mileage exceeds the Odometer Reading
above by the Maximum Miles listed above.

3. Exercising Your Cancellation Option: You understand that the right to cancel will apply only if, within the Option period outlined above,
you:
▪ Sign and deliver to the dealer written notice exercising the right to cancel. You may do this by returning a copy of this agreement
with the “Exercise Option to Cancel” section completed below;
▪ Pay the Restocking Fee Above (minus the purchase price of this Option);
▪ Return your copies of this Option, the original Retail Installment Sales Contract or Purchase Order, all related documents, and all
original vehicle titling and registration documents, if any;
▪ Return the vehicle to the Dealer address listed above free of all liens and encumbrances other than the lien or encumbrance created
by the Retail Installment Sales Contract or loan arranged by us or any purchase money obtained by a third party and in the same
condition it was received, except for reasonable wear and tear and any manifestations of pre-existing defects or mechanical
problems not caused by you.

_______________________________________ ________________________________________
Buyer's Signature Date Co-Buyer's Signature Date

_______________________________________________________________________
Seller’s Signature Date

Exercise Option to Cancel


(Only sign here if you want to CANCEL the contract pursuant to the terms above)
By signing below, I elect to exercise my right to cancel the purchase of the vehicle described in this Agreement. I understand that to cancel I
must comply with all the requirements of this Agreement.
_______________________________________ ______________________________________
Buyer's Signature Date Co-Buyer's Signature Date

WLK-CONCAN-CA 11.16.18
ODOMETER
DISCLOSURE STATEMENT

Federal law (and State law, if applicable) requires that you state the mileage upon transfer of ownership. Failure to complete or
providing a false statement may result in fines and/or imprisonment.

I, 1 Stop Auto Mart (transferor's name, print) state that the odometer now reads 143602
(no tenths) miles and to the best of my knowledge that it reflects the actual mileage of the vehicle described below, unless one of
the following statements is checked.

l (1) I hereby certify that to the best of my knowledge the odometer reading reflects the amount of mileage in excess of its
mechanical limits.
l (2) I hereby certify that the odometer reading is NOT the actual mileage. WARNING f ODOMETER DISCREPANCY.

Make Ford Vehicle Identification Number 1FTFW1ET9BFD27952


Model F150 SuperCrew Cab Year 2011
Body Type Pickup Date of Statement 8/26/2024
eSigned By: eSigned By:

Juan Carlos Gutierrez GRISSEL MARTINEZ


Aug 26, 2024 2:47:15 PM PDT Aug 26, 2024 2:49:15 PM PDT

(Transferor's Signature) (Transferee's Signature)

1 Stop Auto Mart GRISSEL MARTINEZ


(Printed Name) (Printed Name)

TRANSFEROR'S NAME AND ADDRESS TRANSFEREE'S NAME AND ADDRESS

1 Stop Auto Mart GRISSEL MARTINEZ


(Printed Name) (Printed Name)

13631 Harbor Blvd 23452 El Reposa


(Street or Address) (Street or Address)

Garden Grove CA 92843 Aliso Viejo CA 92656


(City) (State) (Zip) (City) (State) (Zip)

Odometer Disclosure Statement ODS 4/24/2007

®
©2017 The Reynolds and Reynolds Company
THERE ARE NO WARRANTIES, EXPRESS OR IMPLIED, AS TO CONTENT OR FITNESS FOR PURPOSE OF THIS FORM. CONSULT YOUR OWN LEGAL COUNSEL.
About Printing Requirements Reset Show Field Borders

Agreement to Provide Insurance


Seller\Lessor (Name and Address) Buyer\Lessee (Name(s) and Address(es)
1 Stop Auto Mart GRISSEL MARTINEZ
13631 Harbor Blvd 23452 El Reposa
Garden Grove, CA 92843 Aliso Viejo, CA 92656

Transaction No. 809 Date 8/26/2024


Insurance Requirements Coverage
Acknowledgment of Insurance Requirements. You have l Collision Deductible $ N/A
entered into a transaction with the Seller\Dealer that l Comprehensive Deductible $ N/A
requires you to keep the collateral associated with the l Deductible $
transaction insured. Your transaction documents
contain the details of the insurance requirements. You Loss Payee (Name and Address)
agree that the Seller\Lessor (or its Assignee) has the Westlake Financial
authority to contact the insurance company for any 4751 Wilshire Blvd Ste 100
issues related to the insurance coverage for this Los Angeles, CA 90010
transaction.

Vehicle Description Signatures


Year 2011 By signing below, you acknowledge receipt of a copy
Make Ford of this Agreement to Provide Insurance.
Model F150 SuperCrew Cab
VIN 1FTFW1ET9BFD27952 eSigned By:
Other: GRISSEL MARTINEZ
X Aug 26, 2024 2:49:25 PM PDT 8/26/2024
GRISSEL MARTINEZ Date
Insurance Company and Agent
Insurance Company
Policy number:
Effective from to X
Date
Insurance Agent (Name, Address and Phone)

Agreement to Provide Insurance API-RETAIL 11/19/2010

Page 1 of 1

8LI6I]RSPHWERH6I]RSPHW'SQTER]
8,)6)%6)23;%66%28-)7)<46)7736-140-)(%783'328)2836*-82)77*36496437)3*8,-7*361'327908=3963;20)+%0'3927)0
*MISC*
Your contract has been assigned to Westlake Financial. During the next week, Westlake will contact you
regarding your automobile purchase. Please make sure that you are available for this telephone
interview, which is required for the financing of your new vehicle.

Your first payment of $ 523.20 is due on 10/01/2024


This payment and all your other payments must be paid to Westlake Financial. Westlake will send you a
Welcome Package immediately after your contract is financed. You will also receive monthly billing statements
from Westlake. If you do not receive a Welcome Package or billing statement before the first payment date
above, you must mail the first payment directly to Westlake at the address below. Write your Social Security
number on your check or money order, so the payment can be credited to your account.

Mail your payments to: Westlake Financial


PO BOX 54807
Los Angeles, CA 90054-0807

Westlake Customer Service: (888) 739-9192

You also have other payment options:

Pay Online: Go to [Link] to register your account and make a payment today!
Online payments can be made by Checking/ Savings Account or Visa, MasterCard, or Discover Debit and
ATM. Please note, there MAY be a $5 fee associated with this service.

Payment by Phone: You can make a payment using our automated phone system by calling (888) 739-9192,
24/7. Phone payments can be made by Checking/ Savings Account or Visa, MasterCard, or Discover Debit
and ATM. Please note, there MAY be a $5 fee associated with this service.

MoneyGram©: MoneyGram is also a wire transfer of your payment. The cost is $9.95. Call (800) 666-3947
for a MoneyGram location near you, or visit your local Wal-Mart. Give the MoneyGram agent the Westlake
code of 2603. If you know your Westlake account number, give that number to the agent when you make the
payment. Otherwise, give your Social Security number.

CheckFree©: CheckFree is an electronic payment transfer service. The cost is $1.50. Call (800) 676-6148 for
a CheckFree location near you. You must know your Westlake account number to use this payment service.

Pay Near Me©: You can make a payment at any 7-Eleven or Family Dollar location. The cost is $3.99. Sign up
for this service at [Link]/Westlake. You will need your Westlake account number, and your 5-digit zip
code. You can choose to receive either an email or text message that contains a link to a barcoded Pay Slip that
can be printed, or sent to your phone. Pay Near Me Excluded States: New Mexico, Hawaii, and Oklahoma.

Customer Name: Inits


Cosigner:
GRISSEL MARTINEZ GM
Physical Address:
23452 El Reposa
City: State: ZIP:
Aliso Viejo CA 92656
Day Phone: Eve Phone:
(949) 520-8557 (949) 520-8557

Selling Dealership Name: 1 Stop Auto Mart


Customer First Payment Notice ENGLISH - 10.2017

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