Get Certificate Of Cancellation And Application For Withdrawal And Trust Funded Prepaid Funeral

This guide provides a clear, step-by-step approach to completing the Certificate Of Cancellation And Application For Withdrawal And Trust Funded Prepaid Funeral online. By following these instructions, users can efficiently navigate the form and ensure their requests are submitted correctly.

Follow the steps to complete the form online effectively.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill out the 'From (Seller) Name' section with the seller's name as registered.
3. Provide the seller's address, city, state, and zip code in the appropriate fields.
4. Enter the seller's telephone or fax number.
5. Input the principal amount on deposit in the 'Principal on Deposit' field.
6. Fill in the permit number associated with the seller.
7. Enter the prepaid contract number in the designated section.
8. Indicate the date of the contract in the 'Date of Contract' field.
9. In the 'Accrued Income' section, provide the total accrued income for the contract.
10. Specify the total amount to be withdrawn in the designated field.
11. Read the refund terms carefully to understand what refund is entitled based on the cancellation timing.
12. Sign in the 'Signature of Purchaser' section to indicate your desire to cancel the contract and acknowledge the refund request.
13. Enter the date of your signature.
14. Provide your street address, city, state, and zip code in the required sections.
15. If applicable, have a notary public witness your signature and fill out their details.
16. The seller's approved designated agent must sign and provide their printed name and title.
17. Review all sections for accuracy and completeness before final submission.
18. Once completed, save changes, then download, print, or share the form as necessary.

Complete your documents online for a seamless experience.