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 Replace a Vehicle 
Replace A Vehicle on Exisitng Policy

Contact Information
Current Auto Policy Number:
Name on Policy:
Your Name:
Email Address:
Daytime Telephone Number:
Vehicle Being Replaced
Old Vehicle Make:
Old Vehicle Model:
Old Vehicle Year:
NEW VEHICLE INFORMATION
Effective Date of Policy Change:
(mm/dd/year)
VIN #:
Year of New Vehicle:
Make of New Vehicle:
Model of New Vehicle:
Is this a purchase or lease:
 Purchase
Lease
Body Type of New Vehicle:
Title Holder/Registered Owner:
Name of Principal Driver:
Principal Driver's Relationship to Named Insured:
Occasional Driver/Operator:
Purchase Price:
Lien Holder/Loss Payee Name:
Lien Holder Address:
Garage Address:
New Vehicle Desired Coverages
Vehicle Useage:
(describe)
Miles to work (one way):
Deductibles:
 Comprehensive
Collision
Anti-Lock Brakes:
Car Alarm:
Air Bags:
Rental Coverage:
Towing Coverage:
Additional Comments:

By submitting this form you understand that no coverage is bound until you receive written notice. Changes to policies via this website are not effective or binding until you, or any party involved, receive official notification from your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.
Enter the security code you see above. Code is NOT case sensitive.*

The Hanks Group
8238 E. RL Thornton Fwy Suite D
Dallas, TX 75228


Toll Free: 877-275-8372
Phone: 214-275-8372  fax: 214-275-8375
email: info@hanksgroup.com

© Copyright 2006
IMPORTANT NOTE: descriptions of insurance coverage on this web site are for informational purposes only and may not apply, or be included on your policy. Please contact us to confirm coverage provided on your insurance policy or policies your are contemplating purchasing. Coverage may not apply in all states. For complete details of coverages, conditions, limits and losses not covered, be sure to read the policy, including all endorsements.
READ OUR PRIVACY STATEMENT

 

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