To submit this form, you need to fill out all the required fields accurately and obtain the necessary signatures. The completed form should be submitted to the dealership handling the transfer. You can send the form via email, fax, or in person to the dealership's contact details provided on the form. It is advisable to keep a copy of the signed document for your records. Ensure submission within 30 days of transfer to avoid delays.

Ensure to submit the completed form within 30 days of the transfer date to avoid any delays in processing.

The purpose of this form is to facilitate the transfer of a Ford/Lincoln Extended Service Plan from the original owner to a new owner. By completing this document, the original owner agrees to relinquish their rights to cancel the contract and receive any refunds. The form captures essential information about both parties and the vehicle to ensure a smooth transfer of coverage.

• 1. Previous Owner Name: The name of the original owner of the Ford/Lincoln vehicle with the extended service plan.
• 2. New Owner Name: The name of the new owner who will receive the extended service plan coverage.
• 3. Vehicle Identification Number (VIN): The unique identification number of the vehicle being transferred.
• 4. Mileage at Transfer: The current mileage of the vehicle at the time of the transfer.
• 5. Previous Owner Signature: The signature of the original owner authorizing the transfer.
• 6. Transfer Date: The date on which the transfer is taking place.
• 7. New Owner Street Address: The street address of the new owner.
• 8. City, State, ZIP: The city, state, and ZIP code information of the new owner.
• 9. Dealership Name: The name of the dealership facilitating the transfer.
• 10. Dealership Phone Number: The contact phone number of the dealership.
• 11. Dealership Contact Name: The name of the dealership contact person.
• 12. Dealership Contact Signature: The signature of the dealership contact person authorizing the transfer.
• 13. P&A Code: Any related P&A code for the dealership handling the transfer.
• 14. Date: The date of the dealership’s processing of the transfer waiver.

Failure to submit this form will result in the inability to transfer the extended service plan to the new owner. This could lead to a lack of coverage and potential financial loss.

• Loss of Coverage: The new owner will not receive the extended service plan coverage.
• Financial Loss: Potential financial implications for repairs and services without coverage.
• Legal Implications: Possible legal implications for not transferring the service plan as required by sales agreements.

• 1. Vehicle Sale: When selling a Ford/Lincoln vehicle with an extended service plan.
• 2. Vehicle Trade: When trading in a Ford/Lincoln vehicle and transferring the extended service plan.
• 3. Ownership Transfer: When transferring ownership of a Ford/Lincoln vehicle within a family or to another individual.