Florida Prepaid College Plan
Voluntary Cancellation Form
Cancellation of a Florida Prepaid College Plan requires the account owner’s notarized signature and, for plans purchased on or after February 1, 2009, that include coverage for Registration Fees, and any associated supplemental plan(s), the survivor’s
notarized signature. For more information, see the Master Covenant at www.myfloridaprepaid.com.
Once the plan has been cancelled, the account owner will receive a refund of the total payments made minus all fees, including late fees owed at the time of cancellation. A cancellation fee of 50 percent of the total payments made, not to exceed $50, may also be deducted from the refund amount if the plan that includes coverage for Registration Fees has been held for less than two years from the first payment due date.
Refunds are made payable only to the account owner and are usually mailed within 45 days of receipt of the completed cancellation request. An incomplete or incorrectly completed form may delay the cancellation process.
The refund will be mailed to the address on file. If an update is required, a Change of Address Form may be downloaded from www.myfloridaprepaid.com/Forms. The Account Owner’s signature is required to change the address on an account.
In order for the address update to be made with the cancellation, the Change of Address form must accompany this notarized form.
Please remember:
All signatures must be original and notarized. Faxed or photocopied notarized signatures will not be accepted.
The notary must properly complete and sign the form.
The notary must date the form.
The notary must print the names of the account owner and survivor (if applicable) in the appropriate section.
A separate notary stamp is required for each signature even if the same individual notarizes both signatures.
All signatures must be individually acknowledged by a notary.
If you decide not to cancel your plan, simply disregard this form and continue your monthly payments. If you have any questions or concerns, please call 1-800-552-GRAD (4723) and press prompt 2.
Sincerely,
Florida Prepaid College Plan
Customer Service
Florida Prepaid College Plan
Voluntary Cancellation Form
Customer Information:
Plan Number: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Account Owner Name: ___________________________________
Beneficiary Name:__________________________________
Daytime Telephone Number: (_________)_________-____________
Please use this form to cancel a Florida Prepaid College Plan.
Please select ONE of the following cancellation reasons:
___ Financial hardship |
___ Plan to re-enroll later |
___ Beneficiary will not attend/complete college |
___ Beneficiary received a Bright Futures scholarship |
___ Choosing a different college investment |
___ Beneficiary will attend an out-of-state or private Florida college |
___ Expectations of the plan not met |
___ Death or disability of the beneficiary |
___ Beneficiary not going to live in a dormitory |
___ Beneficiary has graduated, does not need the remaining benefits |
___ Dormitory space not available |
___ Cancel and transfer payments to plan #: __________________ |
___ Beneficiary received a scholarship |
___ Other: _______________________________________________ |
I (We) have been advised of the alternatives besides cancellation and authorize the Florida Prepaid College Board to cancel the above referenced plan(s):
ACCOUNT OWNER
X_______________________________________
ACCOUNT OWNER’S SIGNATURE – REQUIRED
State of _______, County of ______________________________
The foregoing instrument was acknowledged before me
This _________ day of __________________, 20____
by ____________________________________________________
(PRINT ACCOUNT OWNER’S NAME)
who is (select one): ___Personally known, OR ___Produced identification
Type of Identification:________________________________________
State of:___________________________________________________
X________________________________________
SIGNATURE OF NOTARY – REQUIRED
Notary Stamp
SURVIVOR
X_______________________________________
SURVIVOR’S SIGNATURE-REQUIRED – For plans purchased on or after February 1, 2009, that include coverage for Registration Fees, and any associated supplemental plan(s).
State of _______, County of ______________________________
The foregoing instrument was acknowledged before me
This _________ day of __________________, 20____
by ____________________________________________________
(PRINT SURVIVOR’S NAME)
who is (select one): ___Personally known, OR ___Produced identification
Type of Identification:________________________________________
State of:___________________________________________________
X________________________________________
SIGNATURE OF NOTARY – REQUIRED
Notary Stamp
Return the completed and notarized form to: Florida Prepaid College Board, P.O. Box 6567, Tallahassee, FL 32314-6567
