Cancellation Request

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Nelnet/E-Cashiers
Cancellation Request
Student Name_______________________________________________________________ Student ID # _____________________
Student email __________________________________________ Student phone ________________________________________
Quarter Requested ___________________________________________________________________________________________
I am requesting to cancel my E-cashiers Payment Plan for one of the following reasons. (Check One):
My balance is now zero due to Financial Aid/VA Benefits/Third Party payments.
My balance is now zero as I have paid through TouchNet Sign On through WebAdvisor.
I understand that by cancelling my e-cashiers account:
• If my payment due date is within 5 days of this request the termination may not impact the upcoming payment and only be
applied to future scheduled payments. I understand the current payment may still be deducted from my e-cashiers account.
• In the event of an overpayment on my Life University student account, as a result of my e-cashiers payment, I will be auto-
matically refunded via direct deposit.
By signing below I understand the changes I am requesting. I hereby authorize LIFE UNIVERSITY, to terminate my
Nelnet/E-Cashiers account.
Signature __________________________________________________________________ Date ___________________________
Office of Student Accounts • 1269 Barclay Circle, Marietta, GA 30060 • (770) 426-2667 Office • (770) 426-2926 Fax

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