Fill - Free fillable Federal Consumer Leasing Act Disclosures PDF form

Adjusted capitalized cost. The amount used in calculating your base monthly payment ..........................................

Residual value. The value of the vehicle at the end of the lease used in calculating your base monthly payment ............

Depreciation and any amortized amounts. The amount charged for the vehicle's decline in value

through normal use and for other items paid over the lease term .......................................................................

Rent charge. The amount charged in addition to the depreciation and any amortized amounts ..................................

Total of base monthly payments. The depreciation and any amortized amounts plus the rent charge .........................

Lease term. The number of months in your lease .........................................................................................

Base monthly payment .........................................................................................................................

Monthly sales/use tax ...........................................................................................................................

_____________________ ......................................................................................................................

Total monthly payment ........................................................................................................................

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Other Important Terms. See your lease documents for additional information on early termination, purchase options and maintenance

responsibilities, warranties, late and default charges, insurance, and any security interest, if applicable.

Appendix A-1 Model Open-End or Finance Vehicle Lease Disclosures

Federal Consumer Leasing Act Disclosures

Excessive Wear and Use. You may be charged for excessive wear based on our standards for normal use [and for mileage in excess

of __________ miles per year at the rate of ________ per mile].

Purchase Option at End of Lease Term. [You have an option to purchase the vehicle at the end of the lease term for $ ____________

[and a purchase option fee of $ _________________ ].] [You do not have an option to purchase the vehicle at the end of the lease term.]

Lessee(s) Lessor(s)

Date

Early Termination. You may have to pay a substantial charge if you end this lease early. The charge may be up to several

thousand dollars. The actual charge will depend on when the lease is terminated. The earlier you end the lease, the greater

this charge is likely to be.

Disposition fee (if you do

not purchase the vehicle) $

[Annual tax]

Your first monthly payment of $ _____________

is due on _____________________, followed by

______ payments of $ ___________ due on

the _________ of each month. The total of your

monthly payments is $ _____________.

Monthly Payments

(Itemized below)*

$ _______________

How the Amount Due at Lease Signing will be paid:

Net trade-in allowance

Rebates and noncash credits

Amount to be paid in cash

Total

Amount Due At Lease Signing:

Capitalized cost reduction

First monthly payment

Refundable security deposit

Title fees

Registration fees

Total

Amount Due at

Lease Signing

* Itemization of Amount Due at Lease Signing

Other Charges (not part of your monthly

payment)

$ __________________

You will owe an additional

amount if the actual value of

the vehicle is less than the

residual value.

Total of Payments

(The amount you will have

paid by the end of the

lease)

Capitalized cost reduction. The amount of any net trade-in allowance, rebate, noncash credit, or cash you pay

that reduces the gross capitalized cost ........................................................................................................

Gross capitalized cost. The agreed upon value of the vehicle ($ ) and any items

you pay over the lease term (such as service contracts, insurance, and any outstanding prior loan

or lease balance) ..................................................................................................................................

Your monthly payment is determined as shown below:

If you want an itemization of this amount, please check this box.

Rent and other charges. The total amount of rent and other charges imposed in connection with your lease $ _____________ .

Total $

[ ]

Appendix A-1 Model Open-End or Finance Vehicle Lease Disclosures Page 2 of 2

Standards for Wear and Use. The following standards are applicable for determining unreasonable or excess wear and use of the leased vehicle:

Maintenance.

[You are responsible for the following maintenance and servicing of the leased vehicle:

[We are responsible for the following maintenance and servicing of the leased vehicle:

Official Fees and Taxes. The total amount you will pay for official and license fees, registration, title, and taxes over the term of your lease, whether

included with your monthly payments or assessed otherwise: $

Insurance. The following types and amounts of insurance will be acquired in connection with this lease:

[The following provisions are the nonsegregated disclosures required under Regulation M.]

We (lessor) will provide the insurance coverage quoted above for a total premium cost of $

You (lessee) agree to provide insurance coverage in the amount and types indicated above.

End of Term Liability. (a) The residual value ($ ______________ ) of the vehicle is based on a reasonable, good faith estimate of the value of the vehicle at

the end of the lease term. If the actual value of the vehicle at that time is greater than the residual value, you will have no further liability under this lease, except

for other charges already incurred [and are entitled to a credit or refund of any surplus.] If the actual value of the vehicle is less than the residual value, you will be

liable for any difference up to $ _________________ (3 times the monthly payment). For any difference in excess of that amount, you will be liable only if:

1. Excessive use or damage [as described in paragraph ____ ] [representing more than normal wear and use] resulted in an unusually low value at the end of

the term.

2. The matter is not otherwise resolved and we win a lawsuit against you seeking a higher payment.

3. You voluntarily agree with us after the end of the lease term to make a higher payment.

Should we bring a lawsuit against you, we must prove that our original estimate of the value of the leased property at the end of the lease term was reasonable and

was made in good faith. For example, we might prove that the actual was less than the original estimated value, although the original estimate was reasonable,

because of an unanticipated decline in value for that type of vehicle. We must also pay your attorney’s fees.

(b) If you disagree with the value we assign to the vehicle, you may obtain, at your own expense, from an independent third party agreeable to both of us, a

professional appraisal of the ____________ value of the leased vehicle which could be realized at sale. The appraised value shall then be used as the actual value.

Warranties. The leased vehicle is subject to the following express warranties:

Early Termination and Default. (a) You may terminate this lease before the end of the lease term under the following conditions:

The charge for such early termination is:

(b) We may terminate this lease before the end of the lease term under the following conditions:

Upon such termination we shall be entitled to the following charge(s) for:

(c) To the extent these charges take into account the value of the vehicle at termination, if you disagree with the value we assign to the vehicle, you may obtain,

at your own expense, from an independent third party agreeable to both of us, a professional appraisal of the ___________________ value of the leased vehicle

which could be realized at sale. The appraised value shall then be used as the actual value.

Security Interest. We reserve a security interest of the following type in the property listed below to secure performance of your obligations under this lease:

Late Payments. The charge for late payments is:

Option to Purchase Leased Property Prior to the End of the Lease. [You have an option to purchase the leased vehicle prior to the end of the term.

The price will be [$ _______________________ /[the method of determining the price].] [You do not have an option to purchase the leased vehicle.]

Description of Leased Property

Year Make Model Body Style Vehicle ID #