Email Form Back To: sarah.wright@ecareypaul.com HONDA PRODUCT CANCELLATION FORM CUSTOMER NAME (NAME THAT WAS USED TO PURCHASE VEHICLE) _ CURRENT ADDRESS 2HONE # WORK #__ DATE OF PURCHASE MUST HAVE THIS > 17 DiGiT vIN__ PLEASE CHECK WHICH TYPE OF CONTRACT TO BE CANCELLED: SERVIC! MAINTENANCE ROAD HAZARD. GAP____DING & SHIELD. XEASON FOR CANCELLATION CURRENT MILEAGE ON VEHICLE 1AS YOUR LOAN BEEN PAID OFF? __IF YES, WE NEED THE LETTER FROM THE -EIN HOLDER STATING YOUR CARS PAID IN FULL. IF YOUR CAR IS NOT PAID OFF, WE NEED "OUR LOAN INFORMATION, |AME AND FULL ADDRESS OF YOUR LEINHOLDER: "INANCE DEPARTMENT ONLY: 3 THIS CANCELLATION BEING USED AS DOWN PAYMENT ON A NEW VEHICLE? ES. NO. IF YES, NEW DEAL #. IT NEEDS TO BE APPLIED TO, Y SIGNING BELOW, YOU ACKNOWLEDGE THAT THE COMPLETION AND SUBMISSION OF THE FORM IS TO. AREY PAUL HONDA WILL RESULT IN THE CANCELLATION OF THE PRODUCTS YOU CHECKED ABOVE TO AVE CANCELED. YOU ALSO ACKNOWLEDGE THAT YOU UNDERSTAND THE REFUND THAT MAY BE UE TO YOU, YOUR LEIN HOLDER OR A THIRD PARTY WILL TAKE UP TO 6 WEEKS TO PROCESS, USTOMER SIGNATURE DATE