Purchase Agreement Step 1 of 6 16% MFR. YRMFR. YRPurchaser(s)PhoneDate MM slash DD slash YYYY Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Salesperson First Last Delivery Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code MakeModelYearBedroomsFloor SizeHitch SizeStock NumberSerial Number New Used ColorProposed Delivery Date MM slash DD slash YYYY Key Numbers Optional Equipment, Labor and AccessoriesItemPrice$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$Balance Carried to Optional Equipment Base Price of Unit$Total Optional EquipmentSub-Total $Sales Tax$90Title Transfer Fee$400Processing Fee$Non-Taxable ItemsCash Purchase Price $Trade-In Allowance$Delivery and Set-up$Central Air$Cash Down PaymentSub-Total$Sales Tax (If not included above)Unpaid Balance of Cash Sale Price Seven days after the purchaser receives a legible copy of the executed purchase agreement, or if any time within the seven (7) days an application for a certificate of manufactured home ownership is fully executed, the sale is final and the retailer is no obligated to refund the consumer deposit if the purchaser subsequently cancles the agreement. If the purchaser elects to cancel the purchase agreement within the seven (7) day limit and an application for a certificate of manufactured home ownership has not been fully executed, the purchaser shall notify the retailer in writing by certified mail postmarked before the end of the seventh day to be eligible for full refund of the consumer deposit.Remarks:Purchaser and retailer certify that the additional terms and conditions printed on the other side of this agreement are agreed to as a part of this agreement, the same as if printed above the signatures. Purchaser is purchasing the above described manufactured home; the optional equipment and accessories, the insurance as described has been voluntary; that Purchaser's trade-in is free from all claims whatsoever, except as noted.This agreement contains the entire understanding between retailer and purchase and no other representation or inducement, verbal or written, has been made which is not contained in this agreement. PURCHASER(S) ACKNOWLEDGE RECEIPT OF A COPY OF THIS ORDER AND THAT PURCHASER(S) HAVE READ AND UNDERSTAND THE BACK OF THIS AGREEMENT.TERMS AND CONDITIONSREAD TERMS AND CONDITIONS* Yes RetailerNot Valid Unless Signed and Accepted by an Officer of the Company or Authorized Agent.Approved by:Purchaser SignatureSocial Security NumberPurchaser SignatureSocial Security NumberEmailThis field is for validation purposes and should be left unchanged.
