Customer Cash Form October 09

PORTLAND REGION October 2009 Consumer Cash Back Request Form Eligible Vehicle(s) – valid: 10/06/2009 – 11/02/2009 *(Not valid on Special Lease/Preferred Option transactions, APR programs or vehicles otherwise excluded based on the terms and conditions herein)

VEHICLE IDENTIFICATION NUMBER

ELIGIBLE NEW MODEL #

RETAIL DELIVERY DATE

CUSTOMER INFORMATION FOR VALIDATION: (

)

–

CUSTOMER LAST NAME

FIRST, M.I.

TELEPHONE NUMBER

STREET ADDRESS

CITY, STATE

ZIP CODE

DEALERSHIP NAME

Initial below:

MAIL DIRECTLY

Initial below:

DO NOT MAIL RETAIN COPY

DEALER CODE

I, the customer, want the consumer cash check made out directly to me at the address shown above. Customer MUST SEND this certificate and a copy of the final bill or sales/lease agreement to: Toyota Motor Sales, U.S.A., Inc. 19001 South Western Avenue Torrance, CA 90509 Attn: Incentives Administration Department – PS22 Please allow six to eight weeks from receipt of request for delivery of your check. Make sure the full vehicle identification number is clearly printed in the space provided above. I, the customer, have applied the consumer cash toward my deal, and therefore, I assign the consumer cash payment directly to the dealer. I release Toyota Motor Sales, U.S.A. Inc. from any further claim or obligation for payment to me for this vehicle. Dealer MUST MAINTAIN this completed form in customer file for audit purposes. (DO NOT MAIL TO THE ADDRESS LISTED ABOVE)

_____________________________________________ CUSTOMER SIGNATURE

__________________________________ DATE

_____________________________________________ DEALER SIGNATURE

__________________________________ DATE

Please refer to Page 2 & 3 for terms and conditions

CUSTOMER CASH FORM October 09 .doc

CUSTOMER CASH SELECTIONS $ 750 $ 750 $ 750 $ 750 $1,000 $ 750 $1,000 $ 500 $1,000 $2,000

2010 2010 2010 2010 2009 2010 2009 2010 2009 2010

Yaris Corolla Matrix Camry (Gas) Avalon Sienna Rav4 Rav4 Highlander (Gas) Tundra

TERMS AND CONDITIONS: 1. Offer valid on all eligible purchases and leases on or after the eligible dates specified on the first page of coupon. 2. Offer valid on any new, unused and unlicensed, vehicle (as specified on page one) purchased out of dealer stock during the program period and registered with the appropriate state motor vehicle department. Fleet purchasers are excluded. 3. Must be 18 years of age and have a valid driver's license. 4. If the certificate is to be used toward a down payment, the Customer must tender the signed certificate to the Dealer for processing. 5. If the Customer elects to receive the Cash Back Offer in cash, Customer and Dealer must complete and validate this certificate by filling in the appropriate information and signing where indicated. Customer is to send the certificate and a copy of the final Bill of Sale/Lease Agreement (if applicable) to: Toyota Motor Sales, U.S.A., Inc. 19001 South Western Avenue Torrance, CA 90509 Attn: Incentives Administration Department - G316 Please allow six to eight weeks from receipt of request for delivery of your check. Make sure the full vehicle identification number is clearly printed in the space provided. 6. Applications for cash payments must be received at Toyota Motor Sales, U.S.A., Inc. on or before deadline below: Deadline:

December 31, 2009

7. Offer void where prohibited. 8. Only the original signed certificate will be honored. Mechanical reproductions or facsimiles are not valid. CUSTOMER CASH FORM October 09 .doc

9. Ineligible sales: •

All category “J” car and truck sales.

•

Vehicles reported sold during the program period and subsequently rolled back.

•

Vehicles sold in violation of Toyota’s export policy.

•

Vehicles traded from one dealership to another are ineligible for the trading (sending) dealership.

•

All vehicles sold to conversion companies.

•

Vehicles sold to a broker, used-vehicle dealer, or any other reseller that are not delivered to the ultimate consumers during the program period.

•

Vehicles that are not officially registered with the appropriate state motor vehicle department.

•

Vehicles utilizing dealer or other similar plates which preclude the need to register the individual vehicle with the appropriate state motor vehicle department

•

Vehicles placed in dealer demo service.

•

Vehicles purchased through authorized Toyota auctions.

•

For Sales/Travel contests, sales of more than 20 vehicles of the same series/model to any one account in the same program month

The following sales will be ineligible unless explicitly approved by Toyota Motor Sales, USA, Inc. • Vehicles registered to any Toyota distributor or dealership or to any business corporation in which any Toyota distributor or dealership has ownership interest •

Vehicles sold to a Distributor-owned or Dealer-owned rental company.

•

Sales of more than 20 vehicles of the same series/model to any one account in the same program month

10. This offer is paid for by TMS and may not be used in conjunction with other TMS or Toyota Motor Credit Corporation offers. 11. All certificates are subject to audit. Any rollback or invalid certificates will be charged back to the selling Dealer. 12. All matters of program eligibility and qualification will be conclusively resolved by Toyota Motor Sales, U.S.A., Inc. 13. Toyota Motor Sales reserves the right to change product specifications at any time without incurring obligations. 14. One coupon per retail transaction.

CUSTOMER CASH FORM October 09 .doc