Contract - Freighliner of Austin - 2/24/2022 FREIGHTLINER OF AUSTIN
1701 Smith Rd.(Hwy.183 So.) Bus:512.389.0000
Austin,Texas 78721 FAX:512-389-2663 INV.
Wats:1.800.3952005
.Y OF ROUND ROCK 512-218-5571
ADDRESS CITY STATE ZIP CODE
221 E. MAIN ST ROUND ROCK TX 178664
J e Hereby Purchase from You,Under the Terms and Conditions Specified.the of wing:
2023 FREIGHTLINER M2106 I ORDER
A documentary fee is not an official fee,a documentary fee MILEAGE:
is not required by law but may be charged to buyers for
handling documents and performing services relating to the
the closing of a sale.Buyers may avoid payment of the fee TIPS CONTRACT#200206
to the seller by handling the documents and performing the CHASSIS BASE MODEL PRICE $69,41
services relating to the closing of the sale.A documentary OPTION CONTENT M,072.30
fee may not exceed$50.00.This notice is required by law. VERSALIFT VST-7500-1 170,273.00
Ef cobro documental no es un cobra Oficial. Et cobro FREIGHTLINER 2023 YEAR MODEL SURCHARGE $2,900.00
documental no es un requisito bajo la ley,pero se le puede
cobrar.At comprador por el tendimiento de los servicios
relacionados con la completacion de la yenta y por
completer IDS documentos.El comprador puede evitar el
pago a)vendedor de este costo si el comprador misrno se
encarga de mandejar los documentos y de IDs servicios
necesarios para la completacion de la vents.El cobro
documental no puede sobrepasar los$50.00(U.S.) Este
aviso es requerido bajo la ley.
tsc aimer ot Warranties
Any warranties on the products sold hereby are those made by
the factory. The Seller,Frelghtflner, of Austin, hereby
expressly disclaims all warranties,either expressed or implied
^abnetuding any implied warranty of merchantability or fitness
r a particular purpose,and Freightfiner of Austin,neither
assumes nor authorizes any other person to assume for it any
liability in connection with the sale of this vehicle.
CUSTOMER SIGNATURE
SALESMAN SIGNATURE KEVIN KRIEG
COVTRACTUAL DISCLOSURE STATEMENT FOR USED VEMCLE ONLY.'The Information you we an the window form for this wehide Is part of this opntract.Information on the window farm overriods any
contrary provisions in the contract of sate.'
MILhAGE: ADE-IN
YEAR MARE MODEL/BODY VIN LICENSE PLATE
YEAR MAKE MODEVOODY VIN LICENSE PLATE
TOTAL 273,658.70
PAYOFF TO: Trade Allowance N/A
ADDRESS: Trading Difference N/A
TELEPHONE: !FAX: Sales Tax N/A
GOOD UNTIL: Vehicle Inventory Tax N/A
QUOTED BY: License Fee N/A
SHOW LIEN T0: Body Type: Documentary Fee N/A
ADDRESS: License Wt.: Federal Excise Tax N/A
State Insp.: TOTAL SALE PRICE 273,658.70
DATED: LIEN AMOUNT$ License: Payoff on Trade
DRAFT FOR$ Title: Ext.Service agreement
AFT THRU: Transfer. Less Deposit
)RESS: Total Balance Due 273,658.70
1`1111054105410.requited at federal Mgulatdn't.The Consumer Ihaiectron Act and Ted Tawe consumer aeon Code,will are made Piot to consummation of a wean sola tats w,itten loam comprises
me entire agreement parientng to Vs purchase
.no n0 Whet acreemont or any wind,1011341 undnstanding at promise wdatseever.wilt be recogrured.R Is esPesslyagrecd that the itmcbaser acqures no right,title a Interest In or to the
property which he agrees to Plrrcnase hereunder until such
plcperly is Wiverea to rial and aimer the hal price Is paid In cash err saTlsti clary detened payment agreement is executed by the names hereto,me terms of Alen shall eneraamer be
controlling.and a clear add Is throoned to dearer for the used
ens or vucxs mvOlvcd,if any.THIS 15 1101'A CONDITIONAL SALES CONTRACTT,But IS A BUYER'S ORDER.All new vchicles carry the standard factory warranty.It Is understood mem Is no guarantee
On the atesr dascrlWad naw Of used vehicle
hint,than utllcars 1n this Btrycl Omar.Mileage,It used veMcle model la hot guaranteed and a verbal aticarrent by the SaICIanan teal not be conuldesed binding an and seller.it is agreed
mat tref e1`Freight re,of Austin trot the manufacturer will be
liable err fail.ad to cited dcli—y.Des Order is not efiding an the dealer until a ernhind by an officer of Fmighbbm,of Austin at Itsomicd in Austin.Tacos
CERTIFICATE OF INTERESTED PARTIES FORM 1295
1041
C"on,dpk to Nos. I -4 wrd 6 it there are interested parties. OFFICE USE 47rNL"Y°
Complete Nos 1,2,3,5.,and frit there are no interested parfies. CERTIFICATION OF FILING
I Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 20,22-846141
Freightliner of AUStirY
Austin,TX United Slags Coate Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the farm is 02102/2022
being fiiled.
City of Round Rock Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract„and provide a
description of the services,good's,or other property to be provided under the contract.
000000
Bucket Truck 1]PS2002 fa
Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary..
Hempel, Cadton Austin,TX United States X
S Check only 4 there its NO Interested Party.
6 UNSWORN DECLARATION
My nralne�:s � t ��� and my date of birth Is
7
Myaftossis z;
(St rn-e1) (eity'p (^aW011 ( nri Crab) (Country)
I dedaie under penalty of per,iury diM the foregosng is Irue and correct,
t
Exec,+„rted iris �° °°�`"'�* �. County, Statc of �'"� � .crri the day of � .20
-------------
i
"� (rtre+.aoaihp CYr'ar4
' Signature of dj thoriaed agent of contracting business entity
Qlectaranr„
Farms provided by Texas IEt Tics Commission mr.ethics stote.tx tas Vers&V1.1.191h5cdc
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
101`1
Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2022-846141
Freightliner of Austin
Austin,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 02/02/2022
being filed.
City of Round Rock Date Acknowledged:
02/17/2022
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
000000
Bucket Truck TIPS200206
Nature of interest
4
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Hempel,Carlton Austin,TX United States X
5 Check only if there is NO Interested Parry. ❑
6 UNSWORN DECLARATION
My name is and my date of birth is
My address is
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in County, State of on the day of ,20
(month) (year)
Signature of authorized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.191b5cdc