RFDD02728926 RF0211FLINC — 7/1/2011
Purchaser:
IMA SAMPLE
1234 ANYSTREET
ANYTOWN, FL 12345
Policy Number: RFDD02728926
Plan Type: Nissan Preferred - Roadside — NCV Powertrain
Purchase Price: $500
Deductible: $50
Original Manufacturer's
New Vehicle Warranty
(In-service) Date: 08/11/2010 Odometer Reading: 0
Agreement Effective Date: 09/16/2009 Odometer Reading: 19,275
Agreement Expiration
(whichever occurs first) Date: 07/11/2015 Odometer Reading: 75,000
Dealer:
NISSAN DEALER
1234 DEALER STREET
DEALER CITY, FL 12345
(123) 456-7890
Lienholder:
ANY LIENHOLDER
VIN: 1N4DL21D3XTXXXXXX
Make: NISSAN Model: NCV Year: 2011
Vehicle/Agreement Information
Nissan, the Nissan Brand Symbol, Security+Plus and Nissan model names are Nissan trademarks.
©2006 Nissan North America, Inc.