Sample Letters

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Letter for Request To Cancel Policy

This letter informs an insurer that you are cancelling your policy.

1234, Main Street
Boston, MA 02123

05 April, 2005

<Recipient Address Goes Here>


Re: Policy No. <policy number>

Please be advised that I wish to cancel the above-referenced insurance policy with <name of company>. Please cancel the policy effective <date of cancellation>. Please forward any premium refund to me at <address>.

Thank you for your prompt attention to this request. I would appreciate receiving written confirmation that this policy has been closed. I look forward to hearing from you.


Jim Karter

encl: <List of enclosed items goes here>

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