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9/01/2011

Response to Notice in Regard to Cancelled Coverage

Re: [reason for letter]
This correspondence is to inform you that your above

subject notice, effective [date] was cancelled on [date].
We wish to advise you that this oversight on your part shall

in no way accrue an earned premium or short rate due by

this insured.
If you are in disagreement with the information I have stated

above, please direct any future correspondence to my

attorney:

[Name of attorney]

[Name of Law firm]

[Address]

[City, state, zip]
Very truly yours,

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