W. Va. Code R. agency 114, tit. 114, ser. 114-06, app C
Current through Register Vol. XLI, No. 50, December 13, 2024
(Name and Address of Institution, Retailer or Company)
Dear (Debtor/Insured):
As a result of your payment in full of account number _______, you have the right to cancel any credit insurance policy or certificate issued in conjunction with that account and receive a refund of any unearned insurance premiums.
To cancel the credit insurance policy or certificate, please notify, in writing, the seller(s) of this insurance listed below:
Seller: _________________________________
(Address) _________________________________
_________________________________
Insurer: _________________________________
(Address) _________________________________
_________________________________
W. Va. Code R. agency 114, tit. 114, ser. 114-06, app C