FORD LINCOLN SUBURU NEW VEHICLE PRE-DELIVERY CHECKLIST Click Here for Out of State/TLC Vehicles Pre-Delivery Checklist (Ford Lincoln Suburu) v2 MAIN CONTACT INFORMATION Please fill out Customer Information exactly as it appears on his or her driver's license. Delivery Date * Anticipated Date of Delivery Estimated Time of Delivery * 121234567891011 : 00153045 AMPM Handle in Main Office * Yes No Salesperson * Al Valoroso: Avaloroso@hassettautomotive.com • 516-220-27353Alex Klein • Aklein@hassettautomotive.com • 516-589-2001Alex Micic • Amicic@hassettautomotive.com • 516-426-9230Anthony Desantis • ADesantis@hassettautomotive.com • 516-724-4126Howard Strauss • HStrauss@hassettautomotive.com • 516-727-1552JeanMarie Nestola • JNestola@hassettautomotive.com • 516-313-0107John Descul • JDescul@hassettautomotive.com • 631-335-3541John Fanuzzi • John@hassettautomotive.com • 516-982-9362Jordan Shein • JShein@hassettautomotive.com • 917-751-6848Larry Merola • LMerola@hassettautomotive.comMike Scanello • MScanello@hassettautomotive.com • 917-991-9852Nicole Miller • nmiller@hassettautomotive.comRae • rae.subaru@gmail.com • 516-859-2474Ralph Coffey • RCoffey@hassettautomotive.com • 631-742-2977Rich Perissi • Rperissi@hassettautomotive.com • 516-967-0567Steven Kotler • SKotler@hassettautomotive.com Sharon Sheinker • SSheinker@hassettautomotive.com Tim Coppla • Tcoppola@hassettautomotive.com • 631-398-4390Oliver Uy • OUy@hassettautomotive.comVinny Rizzo • VRizzo@hassettautomotive.com Unknown Finance Manager * Dan • Dcellamare@hassettautomotive.com • 516-330-4017David • David.colotti@northbaycadillac.comJames • myfordlincolnguy@gmail.com • 631-206-4186Unknown First Name * Middle Name Last Name * Suffix * License Image? * Yes No Front of License * Drop a file here or click to upload Choose File Maximum file size: 134.22MB Address * City * State * SelectCTNJNY Zip Code * Date of Birth * Customer Phone (Cell) * Company Name CURRENT INSURANCE INFORMATION Current Insurance Image? * Yes No Insurance Card * Drop a file here or click to upload Choose File Maximum file size: 134.22MB Current Insurance Company * AllstateGeicoLiberty MutualState FarmNationwideProgressiveFarmersTravelersUSAANYCMBroker-Don't know Agency Phone Policy Number * NEW VEHICLE INFORMATION Window Sticker Image? * Yes No Window Sticker Image * Drop a file here or click to upload Choose File Maximum file size: 134.22MB New Vehicle Year * 20142015201620172018201920202021202220232024202520262027202820292030 New Vehicle Make * FordLincolnSuburu New Vehicle Model * New Vehicle VIN * MSRP * $ New or Used Vehicle? * New Used Used Vehicle Mileage * FINANCING INFORMATION Payment Form? * Finance Lease Cash Financing Company? * Bank of America • PO BOX 2759 • Jacksonville, FL 32203Capital One Auto Finance • PO BOX 660068 • Sacramento, CA 95866Citizens Auto Finance • PO BOX 25587 • Sacramento, CA 95865Ford Motor Credit • PO BOX 390910 • Minneapolis, MN 55439Island FCU • 120 Motor Pwky • Hauppauge, NY 11788JP Morgan Chase Bank • PO BOX 901039 • Fort Worth, TX 76101JOVIA FCU • PO BOX 924302 • Fort Worth, TX 76124Lincoln Automotive Financial • PO BOX 390910 • Minneapolis, MN 55439Ocean Financial FCU • 45 Atlantic Ave • Oceanside, NY 11572Peoples Alliance FCU • 125 Wireless Blvd • Hauppauge, NY 11788TD Auto Finance • PO BOX 9224 • Farmington Hills, MI 48333Teachers FCU • PO box 924182 • Fort Worth, TX 76124Valley National Bank • 1445 Valley Rd • Wayne, NJ 07470 Leasing Company * Cab East LLC • PO BOX 390858 • Minneapolis, MN 55438Certified AL Company • PO BOX 398075 • Minneapolis, MN 55439Fusion AF/JOVIA FCU • PO BOX 924302 • Fort Worth, TX 76124Fusion AF/JOVIA FCU • PO BOX 924182 • Fort Worth, TX 76124JP Morgan Chase Bank • PO BOX 901039 • Fort Worth, TX 76101 Is There a Co-Signer? * Yes No Name of Co-Signer * REGISTRATION INFORMATION Replacement Vehicle? * Yes No Vehicle Replacing? * ADDITIONAL INFORMATION Notes Captcha Submit
