Will this handle mount at the factory attachment points without new holes?

Yes. This handle is designed to use the existing factory mounting locations on the rear left door. No drilling required.

Does this come with fasteners?

The assembly itself is included. Check your vehicle's service manual or test-fit before selecting fasteners—mounting hardware varies by vehicle condition and installation method.

Can I paint this before installing it?

Yes. The hard panel construction takes paint well. Sand lightly, prime if needed, and paint to match your interior trim color before installation.