Limo insurance from Lancer's LimoDirect


Lienholder Correction/Change

Effective date of policy change: / /
Vehicle Identification No. (VIN) of vehicle
Year Make  
Model  Length of Stretch
Do you wish to correct a lienholder’s name and/or address?  Yes No
If yes, please complete the following:
This vehicle is: Financed Leased
Name of Finance/Lease Company:
(city): , (state & zip):   (Tel.) - -

If you wish to remove a lienholder from your vehicle, you must forward documentation that the loan has been satisfied to our office prior to removal.

Some transactions may require additional information and/or documentation. Please provide your e-mail address or a daytime telephone number.

If confirming paperwork is not received within 5 business days, please telephone our office at 800-782-8902 x3042.

Policy Number:   Named Insured:
- -   Time to Call: :   am   pm
Fax No.: - -   e-mail:  



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