MECHANICAL FAILURE SERVICE CONTRACT

1 MECHANICAL FAILURE . SERVICE CONTRACT . VEHICLE INFORMATION. CONTRACT NUMBER FORM NUMBER SERIAL NUMBER. X00000024058 DSD10115 5 XYPG4A35GG000000. YEAR MAKE MODEL CURRENT ODOMETER. ETER. TER READING. 2016 KIA SORENTO 8599. DEALER INFORMATION. SELLING DEALER FWS DEALER. EALER #. JMA DentWizard 03850. DEALER ADDRESS CITY STATE ZIP. E. 303 E Wacker Chicago IL 60601. 60. LIENHOLDER ADDRESS. SERVICE Payment plan , INC 303 East Wacker Drive Chicago cago IL 60. 60601. SERVICE CONTRACT HOLDER INFORMATION. FIRST NAME LAST NAME. Jane Davis PL. ADDRESS. 303 E Wacker Drive Suite 230. (AREA CODE) TELEPHONE NUMBER. (800) 346-5990. SERVICE CONTRACT INFORMATION.

2 TERM. 7. TERM / MILEAGE SELECTED. YEARS. MILEAGE. 100000. 000 MILES. LES. CITY. Chicago EMAIL. cago L ADDRESS. POWERT. powertrain . (PTR). silver . LVER. (PUS). S). STATE. IL. L. COVERAGE plan SELECTED. gold . (PUG). gold PLUS. (PGP). ZIP. 60601. M. PLATINUM. SEE SERVICE CONTRACT PERIOD TO DETERMINE. ERMINE. E EXPIRATION DATE AND MILES (PNP). LIGHT DUTY COMMERCIAL. ERCIAL USE COVERAGE. OVERAGE DEDUCTIBLE SELECTED. ONLY FOR VEHICLES. CLES. LES WITH LESS THAN 35,000 MILES. $0 $100**. (ZRD) (ZR1). (LCU) $100 $250. SA. (Z1H) (ZTF). SERVICE CONTRACT . T PURCHASE DATE SERVICE CONTRACT PURCHAS. PURCHASE PRICE. ** REDUCING DEDUCTIBLE - WAIVED IF REPAIRS ARE MADE AT SELLING DEALER.

3 2/16/2016. 6 YOU UNDERSTAND THAT THE PUR PURCHASE OF THIS SERVICE CONTRACT IS NOT REQUIRED IN ORDER TO OBTAIN. FINANCING. ANCING. NCING OR TO PURCHASE THIS THI VEHICLE, VEH HAS A STANDARD $100 DEDUCTIBLE AND MAY PROVIDE CERTAIN. COVERAGES. OVERAGES. VERAGES WHICH ALREADY MAY BE INCLUDED IN ANY APPLICABLE MANUFACTURER'S WARRANTY. NOTICE. TICE TO SERVICE CONTRACT HO HOLDER: YOU are required to obtain authorization prior to beginning any repairs covered by this is SERVICE CONTRACT except as noted in #2 of HOW TO MAKE A CLAIM. This SERVICE CONTRACT is subject to the ARBITRATION. sectionn contained herein. Please see on se STATE AMENDMENTS section for additional state provisions.

4 Washington gton Residents On Only: O By initialing this box, YOU acknowledge YOU have reviewed with Selling Dealer the sections of this SERVICE CONTRACT ontract ct titled: SERVIC. SERVICE CONTRACT PERIOD, SERVICE CONTRACT COVERAGE, MECHANICAL BREAKDOWN, VEHICLE. COVERED. ERED PARTS. PARTS, DEDUCTIBLE AND UNCOVERED COSTS, CANCELLATION, EXCLUSIONS FROM COVERAGE, YOUR. RESPONSIBILITIES, ONSIBILITI. NSIBILIT HOW TO MAKE A CLAIM, and IMPLIED WARRANTY. CONTRACTUAL LIABILITY POLICY # CL-02-091. CUSTOMER SIGNATURE DATE DEALER SIGNATURE DATE. SERVICE COMPANY AND ADMINISTRATOR: FIDELITY WARRANTY SERVICES, INC. BOX 8567 DEERFIELD BEACH, FL 33443 1-800-327-5172.

5 COPY 1 - FWS COPIES 2 & 3 - DEALER COPY 4 - LIENHOLDER COPY 5 - CUSTOMER. F-NSRV (01/15) DSD1 (01/15) Page 1 of 13 C/S# 7855. MECHANICAL FAILURE . SERVICE CONTRACT . VEHICLE INFORMATION. CONTRACT NUMBER FORM NUMBER SERIAL NUMBER. X00000024058 DSD10115 5 XYPG4A35GG000000. YEAR MAKE MODEL CURRENT ODOMETER. ETER. TER READING. 2016 KIA SORENTO 8599. DEALER INFORMATION. SELLING DEALER FWS DEALER. EALER #. JMA DentWizard 03850. DEALER ADDRESS CITY STATE ZIP. E. 303 E Wacker Chicago IL 60601. 60. LIENHOLDER ADDRESS. SERVICE Payment plan , INC 303 East Wacker Drive Chicago cago IL 60. 60601. SERVICE CONTRACT HOLDER INFORMATION. FIRST NAME LAST NAME.

6 Jane Davis PL. ADDRESS. 303 E Wacker Drive Suite 230. (AREA CODE) TELEPHONE NUMBER. (800) 346-5990. SERVICE CONTRACT INFORMATION. TERM. 7. TERM / MILEAGE SELECTED. YEARS. MILEAGE. 100000. 000 MILES. LES. CITY. Chicago EMAIL. cago L ADDRESS. POWERT. powertrain . (PTR). silver . LVER. (PUS). S). STATE. IL. L. COVERAGE plan SELECTED. gold . (PUG). gold PLUS. (PGP). ZIP. 60601. M. PLATINUM. SEE SERVICE CONTRACT PERIOD TO DETERMINE. ERMINE. E EXPIRATION DATE AND MILES (PNP). LIGHT DUTY COMMERCIAL. ERCIAL USE COVERAGE. OVERAGE DEDUCTIBLE SELECTED. ONLY FOR VEHICLES. CLES. LES WITH LESS THAN 35,000 MILES. $0 $100**. (ZRD) (ZR1). (LCU) $100 $250.

7 SA. (Z1H) (ZTF). SERVICE CONTRACT . T PURCHASE DATE SERVICE CONTRACT PURCHAS. PURCHASE PRICE. ** REDUCING DEDUCTIBLE - WAIVED IF REPAIRS ARE MADE AT SELLING DEALER. 2/16/2016. 6 YOU UNDERSTAND THAT THE PUR PURCHASE OF THIS SERVICE CONTRACT IS NOT REQUIRED IN ORDER TO OBTAIN. FINANCING. ANCING. NCING OR TO PURCHASE THIS THI VEHICLE, VEH HAS A STANDARD $100 DEDUCTIBLE AND MAY PROVIDE CERTAIN. COVERAGES. OVERAGES. VERAGES WHICH ALREADY MAY BE INCLUDED IN ANY APPLICABLE MANUFACTURER'S WARRANTY. NOTICE. TICE TO SERVICE CONTRACT HO HOLDER: YOU are required to obtain authorization prior to beginning any repairs covered by this is SERVICE CONTRACT except as noted in #2 of HOW TO MAKE A CLAIM.

8 This SERVICE CONTRACT is subject to the ARBITRATION. sectionn contained herein. Please see on se STATE AMENDMENTS section for additional state provisions. Washington gton Residents On Only: O By initialing this box, YOU acknowledge YOU have reviewed with Selling Dealer the sections of this SERVICE CONTRACT ontract ct titled: SERVIC. SERVICE CONTRACT PERIOD, SERVICE CONTRACT COVERAGE, MECHANICAL BREAKDOWN, VEHICLE. COVERED. ERED PARTS. PARTS, DEDUCTIBLE AND UNCOVERED COSTS, CANCELLATION, EXCLUSIONS FROM COVERAGE, YOUR. RESPONSIBILITIES, ONSIBILITI. NSIBILIT HOW TO MAKE A CLAIM, and IMPLIED WARRANTY. CONTRACTUAL LIABILITY POLICY # CL-02-091.

9 CUSTOMER SIGNATURE DATE DEALER SIGNATURE DATE. SERVICE COMPANY AND ADMINISTRATOR: FIDELITY WARRANTY SERVICES, INC. BOX 8567 DEERFIELD BEACH, FL 33443 1-800-327-5172. COPY 1 - FWS COPIES 2 & 3 - DEALER COPY 4 - LIENHOLDER COPY 5 - CUSTOMER. F-NSRV (01/15) DSD1 (01/15) Page 1 of 13 C/S# 7855. MECHANICAL FAILURE . SERVICE CONTRACT . VEHICLE INFORMATION. CONTRACT NUMBER FORM NUMBER SERIAL NUMBER. X00000024058 DSD10115 5 XYPG4A35GG000000. YEAR MAKE MODEL CURRENT ODOMETER. ETER. TER READING. 2016 KIA SORENTO 8599. DEALER INFORMATION. SELLING DEALER FWS DEALER. EALER #. JMA DentWizard 03850. DEALER ADDRESS CITY STATE ZIP. E. 303 E Wacker Chicago IL 60601.

10 60. LIENHOLDER ADDRESS. SERVICE Payment plan , INC 303 East Wacker Drive Chicago cago IL 60. 60601. SERVICE CONTRACT HOLDER INFORMATION. FIRST NAME LAST NAME. Jane Davis PL. ADDRESS. 303 E Wacker Drive Suite 230. (AREA CODE) TELEPHONE NUMBER. (800) 346-5990. SERVICE CONTRACT INFORMATION. TERM. 7. TERM / MILEAGE SELECTED. YEARS. MILEAGE. 100000. 000 MILES. LES. CITY. Chicago EMAIL. cago L ADDRESS. POWERT. powertrain . (PTR). silver . LVER. (PUS). S). STATE. IL. L. COVERAGE plan SELECTED. gold . (PUG). gold PLUS. (PGP). ZIP. 60601. M. PLATINUM. SEE SERVICE CONTRACT PERIOD TO DETERMINE. ERMINE. E EXPIRATION DATE AND MILES (PNP). LIGHT DUTY COMMERCIAL.