THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK. CANCELLATION APPLICATION EGV Companies, Inc. Please mark on of the following: TRANSFER CANCELLATION Please transfer / cancel the remainder of the Agreement. I am transferring / canceling this Agreement in accordance with the provisions stated in the Agreement. In order to transfer, I am enclosing with this application a fifty dollar ($ 50) check or money order made payable to EGV Companies, Inc., (For Florida residents only, the transfer fee is $40). I understand that if this Agreement has been financed through a payment plan and there is an outstanding balance owed, that the balance must be paid to keep this Agreement in force. If I still choose to transfer this Agreement, I will contact the payment plan company and transfer the payment plan account obligations to the new owner of the Vehicle identified in the application below. Verification that the Vehicle has been maintained as required by this Agreement must be supplied by Original Agreement Holder to Vehicle purchaser. Application must be received within 30 days of the transfer / cancellation date. Transfer will be considered to be valid when Vehicle purchaser receives confirmation letter from Administrator or Service Agreement Provider. Signature of Vehicle Purchaser (if transferring) Date Signature of Original Agreement Holder (if transferring) Date Signature of Agreement Holder or representative of lien holder (if cancelling) Date Phone Signature of authorized representative of Seller (if cancelling) Date Title Information We May Collect
Appears in 5 contracts
Samples: Vehicle Service Agreement, Vehicle Service Agreement, Vehicle Service Agreement
THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK. CANCELLATION APPLICATION EGV Companies, Inc. Please mark on xxxx one of the following: TRANSFER CANCELLATION Please transfer / cancel the remainder of the Agreement. I am transferring / canceling this Agreement in accordance with the provisions stated in the Agreement. In order to transfer, I am enclosing with this application a fifty dollar ($ 50) check or money order made payable to EGV Companies, Inc., (For Florida residents only, the transfer fee is $40). I understand that if this Agreement has been financed through a payment plan and there is an outstanding balance owed, that the balance must be paid to keep this Agreement in force. If I still choose to transfer this Agreement, I will contact the payment plan company and transfer the payment plan account obligations to the new owner of the Vehicle identified in the application below. Verification that the Vehicle has been maintained as required by this Agreement must be supplied by Original Agreement Holder to Vehicle purchaser. Application must be received within 30 days of the transfer / cancellation date. Transfer will be considered to be valid when Vehicle purchaser receives confirmation letter from Administrator or Service Agreement Provider. Signature of Vehicle Purchaser (if transferring) Date Signature of Original Agreement Holder (if transferring) Date Signature of Agreement Holder or representative Representative of lien holder Lienholder (if cancelling) Date Phone Signature of authorized representative Authorized Representative of Seller (if cancelling) Date Title Information We May CollectPRIVACY POLICY
Appears in 1 contract
Samples: Service Agreement
THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK. CANCELLATION APPLICATION EGV CompaniesTo transfer and/or cancel this Agreement, Inc. complete the following and mail a photocopy of the front of this Agreement to the Seller listed on the declarations page of this Agreement. You may also contact the Seller or the Administrator listed in the Definitions section of this agreement. Please mark on of the following: CANCELLATION TRANSFER CANCELLATION Please transfer / cancel the remainder of the Agreement. I am transferring / canceling this Agreement in accordance with the provisions stated in the Agreement. In order to transfer, I am enclosing with this application a fifty dollar ($ 50) check or money order made payable to EGV Companies, Inc., (For Florida residents only, the transfer fee is $40). I understand that if this Agreement has been financed through a payment plan and there is an outstanding balance owed, that the balance must be paid to keep this Agreement in force. If I still choose to transfer this Agreement, I will contact the payment plan company and transfer the payment plan account obligations to the new owner of the Vehicle identified in the application below. Odometer Mileage at date of Verification that the Vehicle has been maintained as required by this Agreement must be supplied by Original Agreement Holder to Vehicle purchaser. Application must be received within 30 days of the transfer / cancellation date. Transfer will be considered to be valid when Vehicle purchaser receives confirmation letter from Administrator or Service Agreement Provider. Signature of Vehicle Purchaser (if transferring) Date Signature of Original Agreement Holder (if transferring) Date Signature of Agreement Holder or representative of lien holder (if cancelling) Date Phone Signature of authorized representative of Seller (if cancelling) Date Title Information We May Collect
Appears in 1 contract
Samples: Service Agreement