NOTICE OF CANCELLATION OR NON RENEWAL
OF	 
KIND OF POLICY: ~POLWCLS~

Policy Number	Issued Through Agency of office at	Cancellation or Termination will take effect at	Date of Notice	
~POLNUM~	~AGYCTY~, ~AGYST~	~POLWEXP~	~MONTH~ ~DD~, ~YYYY~	

Insuring Company	~POLWCMP~
~UWADD1~
~UWADD2~
~UWCITY~, ~UWSTATE~ ~UWZIP~	
Insured's Agent	~CLTADR~	
Name and Address of Insured	~NINAME~
~NIADD1~
~NIADD2~
~NICITY~, ~NISTATE~ ~NIZIP~	

Cancellation		You are hereby notified in accordance with the terms and conditions of the above mentioned policy that your insurance will cease at and from the hour and date mentioned above.
	~CANCELREASON~
	If the premium has been paid, premium adjustment will be made as soon as practicable after cancellation becomes effective.
	If the premium has not been paid, a bill for the premium earned to the time of cancellation will be forwarded in due course.	
		You  are hereby notified in accordance with the terms and conditions of the above mentioned policy that your insurance will cease at and from the hour and date mentioned above due to nonpayment of premium.	
A bill for the premium earned to the time of cancellation will be forwarded in due course.	
Non Renewal		You are hereby notified in accordance with the terms and conditions of the above mentioned policy that the above mentioned policy will expire effective at and from the hour and date mentioned above and the policy will NOT be renewed.	

_____________________________________________________
Authorized Representative