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Service Contract Number Dealer Number TRANSFER OF SERVICE CONTRACT FORM Your Administrator Acceleration National Service Corp. Lyndon Administrative Services The Advantage Warranty Corp. Western Diversified Services Inc. Protective Administrative Services Inc. Send to Procedures Only the owner of the vehicle can transfer this contract. This contract cannot be transferred to or from an automobile dealer. We will accept transfer of this contract only 1. If you request a transfer from the administrator within fifteen 15 days of the change of ownership of the described vehicle. 2. If within thirty 30 days of the change of ownership you provide the administrator with the following a* Your sales receipts invoices or work orders showing date mileage and the service performed evidencing the fact that all maintenance requirements have been met. See section of the contract entitled Your Responsibilities for maintenance requirements. b. A licensed dealer certification of your vehicle s odometer reading. c* A transfer fee of as set forth in your vehicle service contract made payable to Your Administrator. Send a check or money order only. d. A completed transfer form with the two required signatures. 3. If the transfer is confirmed by our administrator. notify the administrator. From Full Name Street Address City State Zip Telephone Signature of Previous Owner Required Date I HAVE READ AND UNDERSTAND ALL OF THE TERMS AND CONDITIONS OF THE AUTOMOBILE MECHANICAL REPAIR AGREEMENT. I ALSO UNDERSTAND THE TRANFER APPLIES ONLY TO THE REMAINING MONTHS AND MILES OF THE ORIGINAL CONTRACT TERM. Signature of New Owner Required VEHICLE DESCRIPTION Year Make CURRENT MILEAGE MUST BE PROVIDED Model Vehicle Identification Number Mileage at Issue Transfer Mileage White-Home Office Canary-Customer Pink-Dealer Transfer 7/01 Rev* 7/04. This contract cannot be transferred to or from an automobile dealer. We will accept transfer of this contract only 1. If you request a transfer from the administrator within fifteen 15 days of the change of ownership of the described vehicle. If you request a transfer from the administrator within fifteen 15 days of the change of ownership of the described vehicle. 2. If within thirty 30 days of the change of ownership you provide the administrator with the following a* Your sales receipts invoices or work orders showing date mileage and the service performed evidencing the fact that all maintenance requirements have been met. 2. If within thirty 30 days of the change of ownership you provide the administrator with the following a* Your sales receipts invoices or work orders showing date mileage and the service performed evidencing the fact that all maintenance requirements have been met. See section of the contract entitled Your Responsibilities for maintenance requirements. b. A licensed dealer certification of your vehicle s odometer reading. See section of the contract entitled Your Responsibilities for maintenance requirements. b. A licensed dealer certification of your vehicle s odometer reading. c* A transfer fee of as set forth in your vehicle service contract made payable to Your Administrator.

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