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.

2 (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. SA. (Z1H) (ZTF). SERVICE CONTRACT .

3 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.

4 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.

5 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. 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.

6 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. 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.

7 (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. 2/16/2016. 6 YOU UNDERSTAND THAT THE PUR PURCHASE OF THIS SERVICE CONTRACT IS NOT REQUIRED IN ORDER TO OBTAIN. FINANCING.

8 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. 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.

9 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. 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.

10 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.