November 10, 2014

Cancellation Department
Alliance Insurance Inc.,
1145 Vermont Avenue,
New Orleans, LA 70152

To,
Jack Smith

Subject: Cancellation of Life Insurance Policy (Policy Number: 75892735)

This is to inform you of my decision to cancel my life insurance policy with effect from December 30, 2014. I would appreciate if you could send me a written confirmation within 30 days, confirming that the cancellation has been accepted and put into effect. I also request you to refund the unused portion of my policy premium and stop charging my bank account for payments of monthly premiums.

Thank you and I hope you will consider this request and put it into effect as soon as possible.

Sincerely,

nejati

zahra nejatimonfared
2600 Don Mills Rd.
#1111
M2J3B4