Untitled Document

Customer Forms

Automatic Payments Cancellation Form
If you want to cancel your recurring automatic payments, please use this form. To print or mail a PDF copy, please click here.

Payoff Authorization Form
To allow a dealer or third party to pay off your loan, please use this form.

Change of Address Form
Moving? Use this form to notify CULS of your new address. To print or mail a PDF copy, please click here.

Name Change Form
Changing your name? Please use this form to notify CULS of your new name. Please be prepared to provide official name change documentation. To print or mail a PDF copy, please click here.

Due Date Change Form
Need to change when you have to make your payment? No problem, just use this form to select a new day. Just remember, you cannot change your due date more than 14 days from its current date. You may change your due date once per year. The loan must be current with all outstanding fees, such as late fees, paid to receive a modification. To print or mail a PDF copy, please click here.

Deferment Request Form
This form allows you to skip a payment due to unforeseen financial issues. The loan must be current with all outstanding fees, such as late fees, paid to receive a modification. A deferral changes the terms of your loan contract and may affect GAP and Warranty coverage. Please consult your GAP and/or Warranty agreement. To print or mail a PDF copy, please click here.

Loan Modification Request Form
You may only make this request if you have paid regularly and on-time for 24 months and you can document financial hardship. You will need proof of employment, such as a pay stub, and proof of auto insurance, such as the declarations page from your policy. If you submit this form and meet the eligibility requirements, a member of the CULS team will contact you for further information and with instructions on how to proceed. The loan must be current with all outstanding fees, such as late fees, paid to receive a modification. A modification changes the terms of your loan contract and may affect GAP and Warranty coverage. Please consult your GAP and/or Warranty agreement. To print or mail a PDF copy, please click here.

Please Mail or Fax All PDF Forms To:
CULS
P.O. Box 105388
Atlanta, GA, 30348
Fax Number: (404) 736-9475