DISCLOSURE STATEMENT AND AGREEMENT FOR INSTALLATION AND USE OF VEHICLE ELECTRONIC TRACKING DEVICE/SYSTEMDisclosure Statement and Agreement • January 17th, 2020
This Disclosure Statementand Agreement("Agreement") isenteredintoonthe day of _ 20 between (hereinafter "Buyer", whether one or more) and and its successors and assigns(hereinafter collectively, "Dealer/Assignee") pursuant to a Retail Installment Contract ("Contract") entered into between Buyer and Dealer for the purchase of a (hereinafter, "Vehicle"). The Vehicle that Buyer has elected to buy is equipped with an Electronic Tracking Device/System (hereinafter "System”). The System is the property of Dealer/Assignee and has been installed by Dealer/Assignee at its own cost to protect Dealer/Assignee's interest in the Vehicle by keeping track of the location of the Vehicle. The System uses Global Positioning Satellite ("GPS") technology also known as Electronic Tracking Device, which tracks the location of the Vehicle. By signing this Agreement, Buyer agrees to the installation of the System in the Vehicle and its use. Once Buyer has fully paid the amounts due under the Contract and perf
Disclosure Statement and AgreementDisclosure Statement and Agreement • October 8th, 2020
Thank you for allowing Alyssa Najera and Associates, a Licensed Clinical Social Worker Corporation DBA Small Town Counseling CA, Inc. to be part of your mental health team. We are a Licensed Clinical Social Worker Corporation that provides mental health/therapy services. This document is intended to provide information to you regarding your treatment. Please read the entire document carefully and be sure to ask your therapist any questions that you may have regarding its contents.
DISCLOSURE STATEMENT & AGREEMENT FOR INSTALLATION AND USE OF VEHICLE ELECTRONIC TRACKING DEVICE(S) SYSTEM(S) (GPS)Disclosure Statement and Agreement • March 3rd, 2020
This Disclosure Statement and Agreement (hereafter “Agreement”) is entered into on the day of , 20 , between (hereafter referred to as “Buyer”, regardless of one or more) and Redwood Lending Services, and its successors and assignees (hereafter referred to collectively as “Assignee”). Buyer and Assignee have elected to enter into the Agreement pursuant to the Retail Installment Contract (hereafter referred to as “the Contract”) for the purchase and financing of the above described vehicle (“the Vehicle”). The Agreement, upon execution, is incorporated into and becomes part of the Contract.
TONAWANDA VALLEY FEDERAL CREDIT UNION DEBIT CARD/ELECTRONIC FUND TRANSFER DISCLOSURE STATEMENT AND AGREEMENTDisclosure Statement and Agreement • October 26th, 2015
In this document, the term “Card” refers to any Debit Card issued to you by Tonawanda Valley Federal Credit Union (the “Credit Union”). The term “PIN” refers to the Personal Identification Number which will identify a person as being authorized to have access to an account. Therefore, when we refer to your PIN, we mean the PIN which allows you to access your account through the type of transaction being discussed.
CONSUMER DISCLOSURE STATEMENT AND AGREEMENT FOR INSTALLATION AND USE OF GPS DEVICEDisclosure Statement and Agreement • January 12th, 2022
entered into between the Buyer(s) and Dealer pursuant to the execution of a retail installment sales contract to finance the Buyer’s purchase of the above-described vehicle (“Vehicle”) and dated the same date as this Agreement (“Contract”). This Agreement, when signed by the Buyer, Co-Buyer (if applicable) and Dealer, is incorporated into and becomes a part of the Contract, which may be subsequently assigned to another entity (“Designated Assignee”).
DISCLOSURE STATEMENT AND AGREEMENT FOR INSTALLATIONDisclosure Statement and Agreement • December 26th, 2013
Pursuant to the Retail Installment Sale Contract (the “Contract”) that I signed in connection with my purchase of the above-described vehicle (the “Vehicle”), dated the same date as this GPS Tracking System Disclosure Statement (this “Agreement”), I understand that the Vehicle I am purchasing is equipped with the GPS ELECTRONIC TRACKING DEVICE (the “Device”). The Device is designed to help ensure that I make my payments on time as required by the Contract. The Device includes a GPS (global positioning system) tracking unit that can determine at any time where my vehicle is located. This GPS will not be used to determine my driving habits or practices (e.g. speeding) but may be randomly activated to ensure the GPS is still functioning. The Dealership or its designated assignee or representative will not provide any access to or record of the tracking unless required to do so by law, but will enforce any rights Dealer or its designated assignee or representative may have under any contra
DISCLOSURE STATEMENT AND AGREEMENT FOR INSTALLATION OF A GPS VEHICLE TRACKING/STARTER INTERRUPT SYSTEMDisclosure Statement and Agreement • September 1st, 2017
This Disclosure Statement and Agreement (“Agreement”) is entered into on the date referenced above between Buyer/Co-Buyer (individually and collectively referred to as “Buyer”) and Dealer and its successors and assigns (hereinafter collectively, “Dealer”) pursuant to a Buyer’s Order and Retail Installment Contract (“Contract”) entered into between Buyer and Dealer for the purchase of the Vehicle. Buyer acknowledges that this Agreement is an amendment and addendum to the Contract and both this Agreement and the Retail Installment Contract will be assigned to Greater Chicago Finance Company (hereinafter “assignee” and/or “Greater”).
AGTEGRA COOPERATIVE CREDIT POLICY, DISCLOSURE STATEMENT AND AGREEMENT (THIS “AGREEMENT”)Disclosure Statement and Agreement • October 29th, 2019 • South Dakota
CREDIT REPORT: Each customer/applicant/co-applicant(s) (“Customer”, “you” or “your”) identified on the Credit Application authorizes AGTEGRA COOPERATIVE (the “Cooperative”) to obtain credit reports from such credit reporting agencies as the Cooperative deems appropriate regarding Customer for purposes of Customer’s application for credit. Customer agrees to provide such additional information as the Cooperative may request from time to time, including without limitation current financial statements.
DISCLOSURE STATEMENT AND AGREEMENTDisclosure Statement and Agreement • May 20th, 2021
FOR INSTALLATION AND USE OF VEHICLE ELECTRONIC TRACKING DEVICE/SYSTEM PLEASE READ THIS DISCLOSURE STATEMENT AND AGREEMENT IN ITS ENTIRETY FOR INFORMATION REGARDING THE TRACKING SYSTEM, AND INTENTION TO TRACK THE VEHICLE.
