Ahis Gap Claim Details

Form FP7209 is an important document for individuals who are starting their own business. This form helps to establish the business entity, and can be used to file taxes and other documentation related to the business. It's important to understand the purpose of this form and how to complete it correctly. This blog post will provide a detailed overview of Form FP7209 and what you need to know in order to fill it out correctly. If you're starting your own business, then you'll need to familiarize yourself with Form FP7209. This document helps to establish the business entity, and is used for filing taxes and other documentation related to the business.

Here is some information that could be helpful if you're aiming to learn how long it'll take you to fill out form fp7209 and just how many PDF pages it has.

QuestionAnswer
Form NameForm Fp7209
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesahis gap download, gap cancellation request form, fp7209, ahis gap

Form Preview Example

GAP Cancellation Request Form

Return document to: American Heritage Insurance Services, 1776 American Heritage Life Dr., Jacksonville, FL 32224

Attn: Cancellation Dept. Phone: 800.621.4871 Fax: 866.398.9021 email: cancellations@allstatedealerservices.com

Please complete ALL sections of this form and submit along with a copy of a cancellation quote, if one was received, and the Guaranteed Asset Protection (GAP) Addendum (Addendum).

CANCELLATION: YOU HAVE THE UNCONDITIONAL RIGHT TO CANCEL GAP FOR A FULL REFUND/CREDIT WITHIN THIRTY (30) DAYS AFTER IT IS PURCHSASED PROVIDED YOUR COLLATERAL HAS NOT SUFFERED A TOTAL LOSS, AND YOU COMPLETED AND RETURNED THIS FORM OR OTHER WRITTEN NOTICE OF CANCELLATION TO THE ABOVE ADDRESS POSTMARKED NO LATER THAN THIRTY (30) DAYS AFTER THE GAP WAS PURCHASED. IF YOU DO NOT RECEIVE THE REFUND/CREDIT WITHIN SIXTY (60) DAYS OF NOTICE OF CANCELLATION/TERMINATION, CONTACT THE GAP ADMINISTRATOR.

SECTION A - DEALER INFORMATION (Please PRINT)

 

 

Account Name

 

 

 

 

 

 

Today’s Date (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

State

 

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

 

 

 

 

 

 

Fax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION B - CUSTOMER INFORMATION (Please PRINT)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name

 

 

 

 

 

 

 

First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Customer Contact Number

 

 

 

GAP Addendum Number

 

 

VIN Number(Last 6 Digits)

 

 

 

 

 

 

 

 

 

 

SECTION C – REASON FOR CANCELLATION (Please check one)

 

 

 

 

 

 

 

 

To process this cancellation request, the following supporting documentation is required:

 

 

 

 

 

 

Customer Request - Attach correspondence or customer signature below

Date Received by Dealer ____/____/____

 

 

Repossession - Attach proof of repossession from lienholder

 

 

 

Repossession Date

____/____/____

 

 

 

Other, please explain _________________________________________________

Other Date

____/____/____

 

 

 

(Please include any supporting documentation)

 

 

 

 

 

 

 

SECTION D – SIGNATURES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

__________________________________________________

 

 

____________________________________________________

 

Dealership Personnel Signature

 

 

 

 

 

 

 

Print Name

 

 

 

 

 

 

 

__________________________________________________

 

 

____________________________________________________

 

Customer Signature (If required, see Section C above)

 

Cancellation Date

 

 

 

 

 

 

 

Call for Cancellation Quote:

American Heritage Insurance Services

800-621-4871

FP7209

Rev. 04/12

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