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Citi® Driver's Edge® Vehicle Redemption Form

Within 90 days of your vehicle purchase or lease date, return this completed form to the address below along with a copy of your proof of purchase. Please allow 3 weeks for receipt, review and processing. Once approved, a check will be mailed. Any documents you submit cannot be returned.

About the primary cardmember*:
Name
Address
City
State
Zip
Last 4 digits of your Citi Driver's Edge Account Number
Redeem available Driver's Edge Rebates ($25 minimum and vehicle purchase price maximum) *
About your vehicle:
I'm redeeming for:   Purchase        Lease
Date of Purchase/Lease
Manufacturer
Year
Model
Amount Paid for Vehicle
Purchase or Lease from a Dealership – please enclose a copy of one of the following as proof of purchase/lease* (check one):   Bill of Sale   Retail Installment Agreement   Purchase Order/Buyer's Order   Lease Agreement   Title/Application for Title
Purchase from a Private Seller – please enclose both items as proof of purchase:   Registration   Proof of Payment or Bill of Sale with previous owner's signature
I certify that I have purchased or leased the vehicle referenced in the attached documentation Primary Cardmember Signature Date
Mail completed form within 90 days of purchase or lease to:

Citi Driver's Edge Redemption Center
P.O. Box 6097
Sioux Falls, SD 57117–6097
You may call 1-800-308-4158 (8AM – 9PM Central Time) (TTY/TDD: 1–800–325–2865)
For redemption of rebates for an authorized user or household member, complete and sign the section below:

If an authorized user or household member, residing at your address, has purchased or leased an eligible vehicle, you can redeem your rebates for that purchase or lease. The redemption check will be made out in the name of the primary cardmember.

I certify that:
Name   Relationship
has purchased or leased an eligible vehicle and is an authorized user of my account or member of my household, and I will be using my rebates to redeem toward this purchase or lease.
Primary Cardmember Signature Date
*Citibank reserves the right to request additional information prior to processing.

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