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Original Selling Dealer Non-Original Selling Dealer

Cancellation Requirements Original Selling Dealer Non-Original Selling Dealer When Uploading Documents is Required If cancellation effective date is over 90days from the date Dealer is processingcancellation. If the retail refund amount is greater than$4,000 dollars. If Dealer is cancelling any policy notoriginally sold at Documents to be "Uploaded" Signed Current Cancellation request form (Can be downloaded by clicking the "Print"button when in the cancellation screen). Specified documentation listed in Step #1 ofthe Cancellation request form showing proofof mileage. Signed Current Cancellation request form (Can be downloaded by clicking the "Print"button when in the cancellation screen).

Signed Current Cancellation Request Form d by buttonwh eninthe canclltion sreen). Specified documentation listed in Step #1 of the Cancellation Request Form showing proof of mileage. Signatures Required BothDeal erandCustom (policyholdon file). The current Cancellation Form shown below will be available to print, sign, and upload in PCRS via

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Transcription of Original Selling Dealer Non-Original Selling Dealer