Get Remittance Form For 05 Product Phase One1doc

Filling out the Remittance Form For 05 Product Phase One1doc online is a straightforward process that ensures accurate submission of necessary information for effective processing. This guide will provide you with clear, step-by-step instructions to help you complete the form efficiently.

Follow the steps to complete the remittance form online

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. In Section A, provide your dealer, lender, or credit union information, including your name, dealer number, address, phone number, and fax number.
3. In Section B, select the product type you are submitting. Choose from Standard GAP, GAP +, or Non-Franchised (Used) Program and enter the corresponding form code.
4. In Section C, list each borrower and their policy number along with the term associated with each waiver that is being submitted.
5. In Section D, count the number of waivers with terms of 60 months or less, enter this number and the respective cost in line D1, multiplying if necessary.
6. Next, count the number of waivers with terms of 61 to 72 months. Enter this number alongside the correct cost in line D2, multiplying where needed.
7. Proceed to count the waivers with terms of 73 to 84 months and fill out line D3 with the respective number and cost, utilizing multiplication if required.
8. Total the amounts from steps 5-7 to derive the total remittance amount that is due.
9. Ensure that you make the check payable to American Heritage Insurance Services.
10. Finally, save your changes, download or print the completed form, and submit it along with the check and necessary waivers to the specified address.

Complete your remittance form online today!