Stock # 2016
Source  
Salesman  
Date  
Phone#  
Cell#  
Follow Up:
1) Date   Init.  
2) Date   Init.  
3) Date   Init.  
Delivery:
Date   Time  
PURCHASER   Soc. Sec.#          /
ADDRESS   CITY   STATE   ZIP  
NEW   YEAR MAKE MODEL STYLE COLOR
USED _____ 2004 JEEP GR CHER LAREDO 4*4 BEIGE
EQUIPMENT Air Cruise Tilt P-windows P-locks Sunroof Alum. Wheels Tint Glass Roof Rack Cd
Year   Make   Model  
Style   Color   Miles  
Equip.  
Currently carry extended service plan? Y___N___
Notes:
Bank   Phone #  
Acct#  
Address  
City/State/Zip  
Amount   Due By  
Selling Price 12,995
Other  
Trade Allow.  
 
Difference  
Tax  
Fees  
 
Sub-Total  
Pay-Off  
 
Total  
Down Pyt  
 
Finance  
  %   Mths   Pyt
Notes:
Dealership Approval   Customer Signature