Email Form Back To:
sarah.wright@eareypaul.com
HOD
DA PRODU
ELLATIO!
FORM
USTOMER NAME (NAME THAT WAS USED TO PURCHASE VEHICLE) Richard 0-lLawence
vient apres 4125 Mountain Oak Cy
Stone Movatwin, GA 30083
PHONE # ~GT78-50§-0498 works Fame
—~—7/31)2020
MUST HAVE THIS 9 ipicirvin _ 2HK RM3 HY GHS3 8055
PLEASI
DATE OF PURCHASE
CK WHICH TYPE OF CONTRACT TO BE CANCE
D:
SERVIC manrenance M_.ROAD HAZARD ____GAP_ DING & SHIELD,
wason ror cancrutation. Caqt atlord tt, need +o ee) of vehicle
URRENT MILEAGE ON VEHICLE 35,084
1AS YOUR LOAN BEEN Paip orF?__N O___iF Ves, We NEED THE LETTER FROM THE
FIN HOLDER STATING YOUR CAR IS PAID IN FULL, iF YOUR CAR IS NOT PAID OFF, WE NEED
OUR LOAN INFORMATION.
JAME ANDPULL A RESS ‘ -EINHOLDE! .
Bank ob Rmenia, Re 20. Box 15220 Wiloinyby DE. 19986-5220
"INANCE DEPARTMENT ONLY:
3 THIS CANCI 3 USED AS DOWN PAYMENT ON A NE!
ES IF YES, NEW DEAL # _ 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 1¢
AVE CANCELED. YOU ALSO ACKNOWLEDGE THAT YOU UNDERSTAND THE REFUND THA’
UETO YOU, YOUR LEIN HOLDER OR 4 THIRD PARTY WILL TAKE UP TO 6 WEEKS TO PRO
USTOMER SIGNATURE BATE