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 ________
_________________________________.

This right of rescission was sent via:


__________________

to


___________________

on ____________________  at ________.




________________________________________________________________