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From:Ace American Home 813 887 5500 10/24/2012 13:14 #538 P.001/001 , RESCISSION CHARGE SLIP/INVOfCE �0��l 5 3 � ro# MENO+�wrnCKErnrl�lce s Ma�Ko. BUYER ACCT.R AUTHOIUTATION A Bu�tNA�tE I'1 PURCHASE(S UNDER: (MUST CHECK ONE) r . eur�p�on�ss �/'C� �Qp (f REGULAR TERMS-NO FURTHER INFORMATION IS REQUIRED IN THE BOLDED BOX BELOW. e��P � ��j 3 ❑ SPECIAL TERMS-PLEASE FILL OUT7NE INFORMAI'ION IN THE 80LDED BOX BELOW. ��r fNTERESTTERMS:(CompleteOne) LENGTH: (CampkteOne) SELLFNBUSINESSNAME �(�A � D NOINTERES70PTION ❑ NUMBEROFMONTHS: �LLER ADqiESS ❑ SPECIAL RATE of %APR UN1iL A SPEGFtC DATE SELLER CITY/STATE/LP "1'a 3 3 ❑ No�� ° �� �� PAYMENT TERMS;(SNect One) ucENSECUSSIFKATiOri ❑ REGULARPAYMENT ��N � ❑ PAYMfNT{N FULV'EQUAL PAYMENTS' �°°�°'v�h�snnan�°'m°pKSTA"Ta`Te �.�T `,� ❑ tUSTOM PAYMENT �v��D��' �- `v� ITEM#1MOQEL Q7Y DEXRIPTiON PRICE AMOUNT TERMS.This transaction is under your cr �t card agreement with Welis Fargo Financfal � pC Natlonal Bank(`the Bank'�. SECURiTY INTEREST.Where applicable,you give the 8ank a purchase-money security �,�, ,� interest on goods purchased in this transactlon.The Bank will not claim a security interest or other lien(except)udgement liens)tn your prindpal dwelling.You agree that any property described in tfiis charge slip will rerreain personal property and will not become a fixture even if attached to rea!property. NOTICE TO BUYER 1.Do not sign this charge siip if any of the spaces intended fo� the TOTAI AMOUNT(INCLUDiNG SALES TNQ agreed terrns to the extent of then svaitable information are lek blank. �J$�� 2.You are entitled to a copy of thls charge slip at the dme you sign it DOWN PAYMENT o 3.Yoa may at amr time pay off the full unpaid balance due under this Cf181'g!Sli�f. AMOUNT FINANCED 58d� 4.The Seller has no�ight to enter uniaxrfully your premises or commFt any breach ofthe peace to repossess goods purthased under this charge slip. Speciai Terms and APR lnformation S.You may cancel this transaction if it has not been signed at the main p�ease read the important information below about the special terms office or branch office of the Seller, provided you notify the Seller promot�on described above. not later than midnight of third business day (fifth business day in Alaska, fifteenth busfeess day in North DakoW if you are 65 or �f your special terrns promotion is No Interest Option,you will be charged no older) after the day of the transaction (oy in Utah,after the day of �nterest ff paid in full by the end of the special terms period. If the balance is the transattion or receipt of the produtt,whithever is later.).See the not paid in full bythe end of the period,interest will be imposed from the date attached Notice of Cancellation for an explanation of buyer's rights. of purchase at the appiicable rate disclosed below. � � If your special terms pramotion is No Interest,you rJiN be charged no interest DA7E a'] �� if pald in full by the end o#the special terms period. If the balance is not paid in full by the end of the period,interest wfll be imposed from the expirat�on of ��^N� the period at the applicable rate disclosed below. BUYERSIGNA7LqE Applicable Rates: If your account was opened prior to December 27,2007,yo�r APR will be BUYER'S RIGHT TO CANtEL 17.90%. YOU,THE BUYER,MAY CJ#NCEL THIS TRANSACTION AT ANY TIME PRIOR TQ If your account was opened on or after December 27,2007 but prior to March MIDPIIGHT OF THE THIRD BUSIME55 DAY (FIFTH BUSINESS DAY IN AI.ASKA, t,2009,your APR wfll be 21.9096. FiFTEENTH BUSIMESS AAY IN NORTH DpKOTA IF YOU ARE 65 OR OLDER)AFTER THE DATE OF THIS TRAMSACTION {OR, IN UTAH, NFTER THE DATE OF THE �f your account was opened on or after March 1,2009,but prior to February TRANSAC170N pR RECEIPT OF THE PRODUCT,WHICHEVER 15 LATEN}.SEE THE 2Z'ZO10,your APR will be 23.90%. ATTAtHED NOTfCE OF CANCELLATION FORM FOR ANY EXPLANAT(ON OF THIS If your account was opened on or after Feb�uary 22, zot 0, but prior to RiGHT. September 28, 2010,your APR wiN be 25.9996. This APR will vary with the FAILURE TO IXERUSE THIS OPTION,HOWEVER,WILL NOT INTERFERE WITH pNY market based on tF�e U.S.Prime Rate. OTHER REMEDlE3 YOU MAY POSSESS. �f your account was opened on or after September 28,2010,your APR will be IF YOU CANCEL,THE SELLER MAY NOT I�EP AM'OF YOUli DOWN PAYMENT. 27.9996. This APR wili vary with the market based on the U.S.Prime Rate. AD[NTIONALLY, IN MlCIiIGAN, THf SELLER IS PROHIBI7ED FRQM HAVING AN INDEPENDENT COURIER SERVICE OR OTHER THIRD PAR7Y PItK UP YOUR If you are not sure wfien your account was opened,you may call Wells Fargo PAYMENT AT YOUR RESIDENCE BEFORE THE END OF THE 3-BUSINESS-DAY Financial National Bank at 800-459-8451. Representatives are available PERIOD IN WHICH YOU CAN CAMCELTHE TRANSACTION. Monday through Friday,8 am to 6 pm Centrai time.