Edit, Download, and Sign the Old Republic Insured Automotive Services GAP Transmittal Form

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How do I fill this out?

To fill out this form, enter the required details including application number and company information. Calculate the totals and amount due before submission. Ensure to provide accurate information to avoid delays.

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How to fill out the Old Republic Insured Automotive Services GAP Transmittal Form?

  1. 1

    Enter the application number and period covered.

  2. 2

    Fill in the company name, address, and contact details.

  3. 3

    Complete the applicant's name, term, retail price, and applicable fees.

  4. 4

    Calculate the total amount due.

  5. 5

    Ensure all required documents are enclosed before mailing.

Who needs the Old Republic Insured Automotive Services GAP Transmittal Form?

  1. 1

    Car dealerships need this form to submit GAP applications and related payments.

  2. 2

    Insurance agents use this form to process GAP insurance cover for clients.

  3. 3

    Financial institutions may submit this form when adding GAP insurance to loans.

  4. 4

    Car buyers apply for GAP insurance using this form.

  5. 5

    Accounting departments manage records and payment for GAP insurance using this form.

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What are the instructions for submitting this form?

To submit this form, ensure you have completed all required fields and attached the necessary documents. Mail the form and check to P.O. Box 35008, Tulsa, OK 74153-0008. For additional information or to submit electronically, visit our official website.

What are the important dates for this form in 2024 and 2025?

Important dates for this form include your application date and the period covered. Ensure to submit the form within these timeframes for timely processing.

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What is the purpose of this form?

The purpose of this form is to facilitate the submission of GAP insurance applications and related payments. It captures necessary details about the applicant, the period covered, and the amount due. This information is essential for processing and recording GAP insurance transactions.

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Tell me about this form and its components and fields line-by-line.

This form includes various fields to capture necessary details for GAP insurance applications and payments.
fields
  • 1. Application Number: Unique identifier for the application.
  • 2. Period Covered: The month and year for which the application is being submitted.
  • 3. Company Name: The name of the company submitting the application.
  • 4. Address: Company's physical address.
  • 5. City, State, Zip: Location details of the company.
  • 6. Company Number: Identification number of the company.
  • 7. Applicant Name: Name of the applicant.
  • 8. Term: Duration for which GAP coverage is being applied.
  • 9. Retail Price: Cost of GAP coverage.
  • 10. Sales Tax: Applicable tax on the retail price.
  • 11. Fee: Any additional fees.
  • 12. Amount Due: Total amount to be paid, including retail price, tax, and fees.
  • 13. Required Documents: List of documents to be enclosed with the form.

What happens if I fail to submit this form?

Failure to submit this form may result in delays or rejection of GAP insurance applications.

  • Delayed Processing: Your application will not be processed on time.
  • Rejection: The application may be rejected if not submitted properly.
  • Penalties: Late submission may incur additional fees or penalties.

How do I know when to use this form?

Use this form when applying for GAP insurance or submitting related payments.
fields
  • 1. GAP Insurance Application: When applying for new GAP insurance coverage.
  • 2. Payment Submission: When submitting payment for existing GAP insurance.
  • 3. Update Information: To update company or applicant information on file.
  • 4. Documentation: To provide signed applications and required documentation.
  • 5. Record Keeping: Maintaining records for adherence to requirements.

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Is it possible to share the PDF from PrintFriendly?

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How do I calculate the total amount due on the form?

Add the retail price, sales tax, and fees to get the total amount due.

What documents should be enclosed with the form?

Enclose a copy of the signed application and a check for the total amount due.

Where do I mail the completed form?

Mail the completed form to P.O. Box 35008, Tulsa, OK 74153-0008.

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