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POLICY CANCELLATION REQUEST / POLICY …

The undersigned agrees that: Requested CANCELLATION dates will be made effective the date received by the general agent, unless a future CANCELLATION date is requested. Requested CANCELLATION dates prior to today s date , due to the purchase of another POLICY , must include proof of duplicate coverage in the form of a declarations page. Policies not accepted by the insured due to an uprate, and returned to the general agent postmarked within 15 days of the date of issuance will be cancelled pro-rata. The above-referenced POLICY is lost, destroyed, or is being retained. No claims of any type will be made against the Insurance Company, its agents, or its representatives under this POLICY for losses which occur after the date of CANCELLATION shown above.

The undersigned agrees that: Requested cancellation dates will be made effective the date received by the general agent, unless a future cancellation date is requested.

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  Policy, Date, Request, Cancellation, Policy cancellation request, Cancellation date

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