NOTICE OF CANCELLATION

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Important Notes

One form must be completed for each sale.

You will be required to upload a form of identification (Texas Driver’s License, Texas Identification Card, U.S. Passport). If you do not have one of the acceptable forms of identification, please wait until you have them before proceeding with this Sign-Up process.
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PURCHASER NAME* This field is required.
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PURCHASER EMAIL
example@example.com
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PRENEED FUNERAL CONTRACT NO.* This field is required.
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DATE OF TRANSACTION
Date
Month
Day
Year
6
Not Later Than Midnight On:
Date
Month
Day
Year
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Please Upload a Copy of Your ID
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Purchaser's Initials
Clear
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Purchaser's Signature* This field is required.
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Date
Date
Month
Day
Year
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What Happens Next?

Please allow (3-5) business days for the processing of this request.

You must press "Submit" below to complete this form.

Your requested change will not become effective until the request is received and recorded at the home office of Texas Service Life Insurance Company.

If you have any questions about this paperwork, please call us at 800-756-7306 and ask for Customer Service or email customerservice@tslic.com and we will be happy to answer any questions you might have.

P.O. BOX 341899, AUSTIN, TEXAS 78734 PH (800) 756-7306 FAX (512) 263-6981 EMAIL: CUSTOMERSERVICE@TSLIC.COM
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