| Coverage Will Be Suspended NO EARLIER Than Date Form Received By NTP |
| Part 1: Service Contract Information |
| Dealership: |
Date Requested: |
| Contract #: |
VIN [Last 8]: |
| Truck Model: |
Truck Make: |
| Truck Year: |
Current Mileage: |
| Dealer Contact: |
|
| Originally sold to
has been returned to our dealership |
| |
Please suspend the Service Contract coverage on this truck for up to 6-months so we can transfer the remaining coverage to a subsequent purchaser at a later date. |
| |
| Part 2: Remaining Coverage |
NTP Use Only
Do Not Write In This Section |
| Date Received By NTP: ______________ |
Expiration: _______________ |
| |
As of the suspension request date, the truck listed above has the following Service Contract coverage remaining: |
| Days Remaining: _______________ |
Miles Remaining:_______________ |
| |
| NTP will verify coverage and notify you by return fax |
| |
| Part 3: Transfer Information |
Complete and Return
to Transfer and Re-Activate |
- Save the returned fax with remaining coverageas noted by NTP
- When you resell a truck with suspended coverage, to transfer balance of coverage on the identified service contract to the new owner, complete Part 3 of this form
- Mail to NTP with a $250 suspend / transfer fee
|
| New Sales Date: _______________ |
New Owner Name: _______________ |
| Street Address: _______________________________________________ |
| City, State & Zip: _______________________________________________ |
| New Owner Phone: _______________ |
Cell Phone: _______________ |
| |
I have been informed by _________________________, that I am receiving the remaining coverage on the above reference truck. I have received a copy of the original Service Contract and I agree to all existing terms and conditions. |
| |
New Owner Signature: ____________________________________________ |
| Date: _______________ |
| |
Mail completed form with your check for $250, payable to
National Truck Protection, 6 Commerce Drive, Suite 200, Cranford, NJ 07016 |
| |
| Coverage Is NOT Transferred Until Payment Has Been Received By NTP |