Dear ________________

This correspondence is to inform you that the above subjects notice, effective __________ (date) is of little effect in fact, canceled on ____________ (date).

We wish to advise you that this oversight on your part shall in no way accrue an earned premium or short rate due by this insured.

If you are in disagreement with the information I have stated above, please direct any future correspondence to my attorney.

_________________________________ (name of attorney)

_________________________________ (law firm)

_________________________________ (address)

_________________________________ (city, state, zip)