Right of Rescission

WHEREAS, on ________________, ________________ entered into an agreement with ____________________, which under the law is subject to a right of rescission by ________________, and ________________ has determined to exercise this right, __________ is notified that ________________ herewith rescinds that agreement for the purchase of _________________________________________.

This right of rescission was sent via: __________________ to ___________________ on ____________________, 20__ at ________.

____________________________________
Rescinder

Faxed to: _______________.