Please print and complete the document below, then upload the signed document using the form lower on this page. If you have any questions, please contact us at .
By signing below you are agreeing to the terms of cancellation. Once this form has been completed you are not able to reinstate your policy for any reason.
Proof of odometer is required to ensure the accuracy of your refund, without the required notarized odometer statement your cancellation will not be processed. If you would like to process your cancellation in store, please upload the required documents listed under "Reason for Cancellation". All cancellation proceeds are sent to the lienholder directly. Refunds may be delayed by the lienholder. Please call the lien holder if you have not received cancellation funds in more than 4 weeks.
You must use this website to cancel your contract(s), but you may visit our stores and staff to aid you in the process of cancellation. This software is meant to provide a contactless service and allow our customers to make changes to policies they may have purchased from our Dealerships.