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Get Volkswagen Consent to Release Information Needed for Vehicle Buyback

Consent to Release Information Needed for Vehicle Buyback Because there is an outstanding loan on this vehicle written consent is required from the accountholder for the lender to release the information that will be required to confirm the outstanding loan balance and payoff amount. Without this information a vehicle buyback under the terms of the VW/Audi Diesel Emissions Settlements cannot be completed* Information obtained from lenders will not be used for any other purpose than to confirm outstanding loan balances and payoff amounts. For questions please call the Settlement Support Team at 1-844-98-CLAIM. Please complete all sections of this form and return it to Volkswagen* There are three ways that you can return this form to Volkswagen 1 Upload it to your account on the Claims Portal 2 Send it via fax to 248-754-6602 or 3 Mail it to VW / Audi Emissions Settlement Claims Processing P. O. Box 214500 Auburn Hills MI 48326 Your Name s Your Reference or Claim 9 Digits Vehicle Identification Number VIN 17 digits Your Contact Phone Number Lender Name Lender Phone Lender Address Name s on Account Account Number Last 4 Digits of Social Security Number associated with account By signing this form I authorize the release of all information pertaining to my lease loan or title including but not limited to contract interest paid payment history and payoff information to Volkswagen of America Inc* an organizational unit of Volkswagen Group of America Inc* Ankura Consulting Group LLC as the Court-Appointed Claims Supervisor and lawyers appointed by the Court as Settlement Class Counsel in the Volkswagen Clean Diesel litigation* Accountholder Signature Date. Without this information a vehicle buyback under the terms of the VW/Audi Diesel Emissions Settlements cannot be completed* Information obtained from lenders will not be used for any other purpose than to confirm outstanding loan balances and payoff amounts. For questions please call the Settlement Support Team at 1-844-98-CLAIM. Please complete all sections of this form and return it to Volkswagen* There are three ways that you can return this form to Volkswagen 1 Upload it to your account on the Claims Portal 2 Send it via fax to 248-754-6602 or 3 Mail it to VW / Audi Emissions Settlement Claims Processing P. For questions please call the Settlement Support Team at 1-844-98-CLAIM. Please complete all sections of this form and return it to Volkswagen* There are three ways that you can return this form to Volkswagen 1 Upload it to your account on the Claims Portal 2 Send it via fax to 248-754-6602 or 3 Mail it to VW / Audi Emissions Settlement Claims Processing P. O. Box 214500 Auburn Hills MI 48326 Your Name s Your Reference or Claim 9 Digits Vehicle Identification Number VIN 17 digits Your Contact Phone Number Lender Name Lender Phone Lender Address Name s on Account Account Number Last 4 Digits of Social Security Number associated with account By signing this form I authorize the release of all information pertaining to my lease loan or title including but not limited to contract interest paid payment history and payoff information to Volkswagen of America Inc* an organizational unit of Volkswagen Group of America Inc* Ankura Consulting Group LLC as the Court-Appointed Claims Supervisor and lawyers appointed by the Court as Settlement Class Counsel in the Volkswagen Clean Diesel litigation* Accountholder Signature Date. .

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