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Do you own any . . .
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Do/Does you or your CU own any other types of vehicles which are not used entirely for business?
* IF YES - Read each item on list
Do you own any . . .
* IF YES -
What kind of vehicle(s) did you purchase?
* IF YES -
Which kind of vehicle(s) did you dispose of?
What is/was the year of the vehicle? [enter value] _____________
What is/was the make and model of this vehicle?
* If vehicle make and model is not found, please specify: [enter text] _____________
* Specify: [enter text] _____________
How many cylinders does/did it have? [enter value] _____________
* Specify: [enter text] _____________
What percentage of the mileage was/is counted as a business expense? [enter value] _____________
Was it new or used when acquired?
Was this vehicle purchased from a private individual?
* Enter to the nearest whole mile [enter value] _____________
In what month was it purchased? [enter text] _____________
In what year was it purchased? [enter value] _____________
Was any portion of the purchase price financed?
Was a trade-in allowance received?
How much? [enter value] _____________
What was the amount paid for the vehicle after [trade-in allowance], rebate, and discount? [enter value] _____________
Was any of the amount or price paid by an employer?
How much? [enter value] _____________
What was the amount of the cash down payment? [enter value] _____________
What was the source of the credit?
* Specify: [enter text] _____________
How much was borrowed, excluding any interest? [enter value] _____________
What was the interest rate? [enter value] _____________
What was the number of payments contracted for? [enter value] _____________
In what month was or will the first payment be made? [enter text] _____________
In what year was or will the first payment be made? [enter value] _____________
What is the amount of each payment? [enter value] _____________
What period is covered by each payment?
* Specify: [enter text] _____________
How much of the payment is for these extra charges? [enter value] _____________
How did you dispose of the vehicle?
* Specify: [enter text] _____________
In what month was it sold/traded in/given away to someone outside the CU/damaged beyond repair/stolen/disposed of?[enter text] _____________
If sold, how much did you sell it for? [enter value] _____________
Were you reimbursed for the value of the vehicle?
How much did you receive? [enter value] _____________
Do you expect to be reimbursed for the value of the vehicle?
How much will you receive? [enter value] _____________
Were there any outstanding loans on the vehicle when/if it was disposed of?
Were any final payments made on the loan?
How much was the final payment? [enter value] _____________
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Last Modified Date: November 21, 2006