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MOTOR VEHICLE BROKER AGREEMENT FORM
NAME
*
First
Last
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
YEAR – MAKE – MODEL – TRIM
*
COLOR – OPTIONS
METHOD OF PAYMENT
*
Cash
Finance
Lease
LEASE TERMS
*
24 Months
33 Months
36 Months
42 Months
48 Months
60 Months
MILES PER YEAR
*
5000 Miles
7500 Miles
10,000 Miles
12,000 Miles
15,000 Miles
18,000 Miles
FINANCE TERMS
*
24 Months
36 Months
48 Months
60 Months
72 Months
84 Months
VEHICLE VIN NO.
{Vehicle Identification Number} *if known
SERVICE FEES
New Vehicle Service $275 Trade in Service +$ 75 Premium Luxury cars and Specialty Pre-owned vehicles may have an increase in service fees. The broker will determine that fee before the agreed and signed upon broker agreement. We may receive a fee from the selling dealer.
TOTAL SERVICE FEES
NOTICE:
This is an agreement to provide services; it is not an agreement for the purchase of a vehicle. California law gives you the following rights and protection: Once you have signed this agreement, you have the right to cancel it and receive a full refund of any money paid, including any brokerage fee you may have paid, under any of the following circumstances: (1) The final price of the vehicle exceeds the purchase price listed above. (2) The vehicle is not as described above upon delivery. (3) This agreement expires prior to your being presented with a selling dealer's purchase agreement. If you have paid a purchase deposit, you have the right to receive a refund of that deposit at any time prior to your signing a vehicle purchase agreement with a selling dealer. Purchase deposits are limited by law to no more than 2.5 percent of the purchase price of a vehicle and must be deposited by an auto broker or auto buying service in a federally insured trust account. If you are unable to resolve a dispute with your auto broker or auto buying service, please contact an investigator of the Department of Motor Vehicles.
AGREEMENT DATE
MM
DD
YYYY
Signature
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