Landmark Mahindra : Z Form

Contract Date: 1-Jan-24 Consultant Name ABC

Prospect Card Date: 12-Dec-23 Team Manager Name XYZ
Final Z Form Date: 1-Jan-24 Source of Inquiry Walk-in
Expected Delivery Date: 15-Jan-24 E Dealer Account No

Customer Contact Information

Registration Information Communication Address
Customer's Name Landmark Cars East Private Limited Contact Person Mr.Kaushik Panchal
Customer's PAN Card Number AACCL4207H Mobile Number 9825407732
Price Effective Month / Category Date of Birth
Same
10,East Topsia Road
Communication
Registration Address Address
Topsia

City & Pin Code Kolkata-700046 Mobile Number 1

State West-Bengal E-Mail ID
GST # 19AACCL4207H1ZN Residence Number [email protected]
Office Number
Fax Number

Vehicle Information
Model Chassis Number
Variant Engine Number
Colour
Remarks - if any Vehicle Status Ex Stock

Price Structure as per Price List Total Outflow Payment Received

Ex-Showroom Price 5050000 Dealer Discount 50000 Down Payment 0
0
Registration Charges 275000 Mahindra Discount Payment ( 1 ) 0
Cash Amount Paid @ RTO 940 Insurance Discount 0 Payment ( 2 ) 0
Insurance Amount* 111694 0 Payment ( 3 ) 0
Service Package 0 0 Finance Disbursement 0
Warranty 0 0 Total amount received 0
Accessories 0 Special SC Incentive 0
Balance Payment to be collected
Fastag 700 Brokerage 0 0
TCS 0 Finance Discount 0
Accessories Discount 0
Total Receivable 5438334 Total Outflow 50000 Total Receivable 5,388,334

Car Finance Information Insurance Information* RTO Information*

Attn- Accounts : Net Invoice Value is to be calculated after deducting Mahindra discount + Dealer discount from Ex-Showroom Price if any.
Finance - Through Benchmark NO Net Invoice [Ex-showroom] 5050000 Net Invoice [Ex-showroom] 5000000
DSA / Broker Name Insurance Zone Zone A Permanent Registration Customer
Hypo In Favor Of Bank Axis Bank Ltd Tariff Less % Agent Fees Collected YES
Loan Disbursement Amount Insurance Premium Amt 111694 RTO DD Amount 275000
Tenure MB Secure Premium Amt 0 Cash Amount Paid @ RTO 940
Accessories Premium Amt
Total Premium Amt 111694 DD / Chq in favor of & RTO Location
Nomination Name
Age
Relationship
In Case of Brokerage In Case of Special Incentive
Brokerage Amount: Special Incentive Amount:
Broker Name: Scheme Name & Period:
Brokerage Approved By: Special Incentive Approved By:
Accessories Remarks:

Any Special Remarks:

Discount Approved by with
respective justification - if any

Claim Information Level of Approval

Mahindra Claim Circular Dated & Month : L -1 L -2 L -3 Bulk Deal
Mahindra Claim Amount as per Circular :
Dealer Contribution as per Circular : Remarks by ED
Other Benefit from Mahindra :

Prepared By : Approved By : Checked By : Operations Authorized By :

 Deal Calculator
Ex-showroom 5050000 Dealer Discount 50000 Bookign Amt 0
Registration / Handling Charges 275000 Mahindra Discount 0 Finance Disbursment 0
Cash Amount Paid @ RTO 940 Insurance Difference 0 Balance Margin 1 0
Insurance 111694 MB Secure Difference Balance Margin 2 0
Service Package 0 Registration/Handling Charges Total Received 0
Warranty 0 Entry Tax Difference 0 Remaning Amt 5388334
Accessories 0 Special SC Incentive 0
Fastag 700 Brokerage 0
TCS 0 Finance Discount 0
Accessories Discount 0
Total 5438334 Total 50000 Total Receivable 5388334

Insurance Calculator MB Secure RTO Calculator

Ex-showroom 5000000 Ex-showroom 5000000 Ex-showroom 5050000
Discount 50000
New Ex-showroom 5000000 New Ex-showroom 5000000 Net Invoice Value 5000000
95% IDV 4750000 95% IDV 4750000
Rate 163400 3.44% 1.21% 33725 RTO Tax 275000
Tariff Discount 96406 59% Service Tax 12.36% 4168 Cash Amount Paid @ RTO 940
ODV 66994 Total 37893
3rd Party 4759 Accidental Insurance
Premium 71753 New RTO Tax 275000
Service Tax 12.36% 8869 MB Secure Amt
Actual Premium
0

Insurance Difference RTO Difference

Actual Insurance 111694 Actual RTO 275000
New Insurance 0 New RTO 275000
Difference 111694 Difference 0

MB Secure Difference Entry Tax

Actual MB Secure 0 Entry Tax As Per Price List 0
New MB Secure 0 Actual Entry Tax 50500
Difference 0 Difference -50500