Notice of Right of Rescission

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

NOTICE OF RIGHT TO CANCEL

Your Right to Cancel

You are entering into a transaction that will result in a {{security_interest_type}} in your home. You have a legal right under federal law to cancel this transaction, without penalty, within three business days from whichever of the following events occurs last:

1. The date of the transaction, which is {{transaction_date}};

2. The date you received your Truth in Lending disclosures; or

3. The date you received this Notice of Right to Cancel.

How to Cancel

If you decide to cancel this transaction, you may do so by notifying us in writing at the address provided below. You may use any written statement that is addressed to the creditor and indicates your intent to cancel. You may also use this form by dating and signing below and returning it to us. We recommend sending your notice by certified mail, return receipt requested, to ensure proof of delivery.

Our mailing address is: {{company_name}}, {{company_address}}.

Effect of Cancellation

If you cancel this transaction, your {{security_interest_type}} in your home is also canceled. We must then return to you any money or property you have given us or anyone else in connection with this transaction within 20 calendar days after we receive your notice of cancellation. If we have delivered any property to you, you may keep it until we have done all of the above. Then, you must offer to return the property to us at your home or at the address we have provided you. If we do not take possession of the property within 20 calendar days after your offer, you may keep it without further obligation.

Transaction Details

Borrower(s) Name: {{borrower_name}}

Property Address: {{property_address}}

Account Number: {{account_number}}

Loan Amount: {{loan_amount}} {{currency}}

Acknowledgement of Receipt

I/We acknowledge receipt of two copies of this Notice of Right to Cancel and one copy of the Truth in Lending Disclosures on {{date_received}}.

____________________________________

{{borrower_name}} (Borrower)

{{date}}

____________________________________

{{co_borrower_name}} (Co-Borrower, if applicable)

{{date}}

Cancellation Request (Optional)

I/We hereby cancel this transaction.

____________________________________

{{borrower_name}} (Borrower)

{{date}}

____________________________________

{{co_borrower_name}} (Co-Borrower, if applicable)

{{date}}

Signature Block

Sincerely,

____________________________________

{{company_representative_name}}

{{company_representative_title}}

{{company_name}}

{{date}}