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Pentagon Federal Credit Union Members Affidavit Repair Certification/Loss Draft Release Please complete all sections of this form. Date: Members Phone Number: Loan Number: Amount of Draft: State:
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How to fill out a repair certification loss draft release:

01
Begin by carefully reading through the repair certification loss draft release form. Make sure you understand all the sections and requirements.
02
Provide your personal information in the designated spaces. This includes your name, address, contact information, and any other details specified on the form.
03
If applicable, provide details about the insurance company that issued the repair certification loss draft. This may include the policy number, contact information, and any other relevant information.
04
Clearly state the purpose of the repair certification loss draft release. This typically involves confirming that the repairs have been completed satisfactorily, releasing any remaining funds to the appropriate parties, and acknowledging that you are releasing the insurance company from further liability for the repairs. Follow the instructions carefully to ensure you address all the necessary points.
05
Sign and date the form in the designated spaces. If required, have the form notarized or witnessed according to the instructions provided.
06
Retain a copy of the completed repair certification loss draft release for your records. It may be necessary to provide a copy to the insurance company, contractor, or other relevant parties.

Who needs a repair certification loss draft release?

01
Homeowners who have received an insurance settlement for property damage and have chosen to use a loss draft to pay for repairs.
02
Contractors or service providers who have completed the necessary repairs and are seeking payment from the insurance company.
03
Insurance companies or their representatives who require a signed release before disbursing additional funds for repairs.
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The repair certification/loss draft release is a document that certifies that all repairs have been completed according to the insurance settlement agreement and allows the insurance company to release payment for the repairs.
The contractor or homeowner who performed the repairs is required to file the repair certification/loss draft release.
To fill out the repair certification/loss draft release, the contractor or homeowner must provide details about the completed repairs, including the cost, date of completion, and any relevant documentation.
The purpose of the repair certification/loss draft release is to confirm that the repairs have been completed satisfactorily and in accordance with the insurance settlement, allowing the insurance company to release payment.
The repair certification/loss draft release must include details about the completed repairs, such as the cost, date of completion, and any relevant documentation verifying the repairs.
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