CANCELLATION REQUEST / POLICY RELEASE
CANCELLATION REQUEST (Policy attached) POLICY RELEASE (Complete Statement Section Below) Any premium adjustment will be made in accordance with the terms and conditions of the policy. under this policy for losses which occur after the date of cancellation shown above.
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www.market-finders.comThe undersigned authorized Officer of the Organization on behalf of the applicant and all persons or concerns seeking insurance, has read and understands the Application and declares that all statements set forth herein are true, complete and accurate.
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