Follow the steps to fill out the cancellation form effectively.

1. Click ‘Get Form’ button to obtain the TX Smart Autocare Agreement Cancellation Form and open it in your preferred document editor.
2. In the first section, fill in the Service Contract Number and Dealer Number accurately. These details will assist in identifying your specific contract.
3. Provide the Dealer Name and Contract Holder's Name. Ensure that the information matches the original documents to avoid any delays.
4. Fill in both Street Addresses, along with City, State, and Zip for the Contract Holder. This ensures that any correspondence regarding your cancellation is correctly directed.
5. Enter the Lien Holder's information, if applicable, to complete the cancellation request.
6. Specify the Contract Effective Date using the fields provided for Month, Day, and Year, as well as the Cancel Effective Date.
7. Input the Mileage At Issue and Cancellation Mileage to document the vehicle's mileage at the time of cancellation.
8. Select one reason for cancellation by checking the corresponding box, and if necessary, attach any required proof indicated (such as for repossession or total loss).
9. Complete the vehicle information including Year, Make, Model, and Vehicle Identification Number to ensure clarity regarding the service agreement being canceled.
10. Lastly, sign and date the form in the designated areas to validate your request.

Submit your completed form online to process your cancellation efficiently.