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Get EFG Cancellation Request Form 2012-2021

If the cancellation request is thirtyone 31 days or more after the Purchase Date you shall receive a pro-rata refund less a fifty dollar 50 processing fee owed to Administrator unless specified otherwise by State law or required otherwise by Administrator. If the purchase price of this Contract was included in the financing of the Vehicle or financed by a funding company any refund due will be paid to Financial Institution/Lender on Your behalf and the refund will be deducted from Your balance owed. Customer Signature Date Please attach a copy of the Registration Page and supporting documents to this request. Cancellations will not be processed without proper documentation. Administered by Enterprise Financial Group Inc. EFG P. CANCELLATION REQUEST FORM This form will be used for the purpose of evaluating a cancellation request only and does not constitute an agreement of cancellation* In order to complete your cancellation request please print sign and turn in a copy to your Seller to obtain any refund that might be due. Contract Number Contract Effective Date Vehicle Identification Number VIN Cancellation Date Customer Name Seller Name Odometer Reading at Cancellation Date Reason for Cancellation Please Check One Customer Request Loss Attach Loss Documents Repossession Attach Repo. Notice Loan paid off/Refinanced Traded-Sold Attach Lienholder Payoff Notice Total Back-out/Unwind Re-Contracted Other Please review STATE REQUIREMENTS DISCLOSURES for Your state specific cancellation language. You are entitled to a full refund if You contact and provide written notice of the cancellation with the first thirty 30 days after the Purchase Date and if you have not filed a claim against the Contract. If the cancellation request is thirtyone 31 days or more after the Purchase Date you shall receive a pro-rata refund less a fifty dollar 50 processing fee owed to Administrator unless specified otherwise by State law or required otherwise by Administrator. If the purchase price of this Contract was included in the financing of the Vehicle or financed by a funding company any refund due will be paid to Financial Institution/Lender on Your behalf and the refund will be deducted from Your balance owed* Customer Signature Date Please attach a copy of the Registration Page and supporting documents to this request. Cancellations will not be processed without proper documentation* Administered by Enterprise Financial Group Inc* EFG P. CANCELLATION REQUEST FORM This form will be used for the purpose of evaluating a cancellation request only and does not constitute an agreement of cancellation* In order to complete your cancellation request please print sign and turn in a copy to your Seller to obtain any refund that might be due. Contract Number Contract Effective Date Vehicle Identification Number VIN Cancellation Date Customer Name Seller Name Odometer Reading at Cancellation Date Reason for Cancellation Please Check One Customer Request Loss Attach Loss Documents Repossession Attach Repo. .

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