Name of purchase at resale: e. Condition of merchandise (submit proof to support sale conducted in commercially reasonable manner): I DGood DFair I f. Blue Book value: High: $ ~ -Low: $ , $ 4. DEFICIENCY CALCULATIONS (NOTE: Line a plus line d minus line e must equal line

f) Contract Balance a. Total contract amount (total of payments): I b. Amount of ins~rance add-~n (submit c~py of letter sent): $ i c; Other add-on Items (explain and submit proof): .d. Subtotal (add-on items): e. Less: Amount paid before default: f. Balance due on date of default (contract amount plus add-on items minus amount paid): Rebates g. Amount rebated, unused finance charges or unearned lease charges: h. Amount rebated, unused insurance: i. Other rebates (expiain): j. Less: Subtotal (rebates): k. Balance due after rebates: $ ($ - $ $ $ ~ ($ ) $ JUDGMENT-AUTO SALES AND LEASES Expenses (Submit proof) I.

Repossession expenses: m. Bank collection charges: n. Reconditioning expenses: o. Storage expenses: p. Salesperson commissions: q. Title expenses: r. Late charges: s. Other expenses (specify): $ t. Subtotal (expenses): Credits u. Amount received resale: v. Amounts paid in suit: w. Other credits (specify): $ $ $ ($ ) ($ ) x. Less: Subtotal (credits): y. Less: Amounts paid after suit and before judgment: 5. DEFAULT JUDGMENT PRINCIPAL: $