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Automobile Deletion

Insured's Information
Insured's Name:
If part of a larger group, i.e. a Diocese, please name your sub-group, parish, etc.:
Your Name:
Your Telephone Number:
Your e-mail:

Vehicle Deletion Information
Year:
Make & Model:
Vin Number:
Termination Date:

Please note that if you are returning plates in either New York or Massachusetts, a copy of the plate return receipt must be submitted to our office. You may forward it by either fax or e-mail for the most prompt response, or by regular mail.

Additional Notes

Enter Security Code as shown below: