Fill and Sign the Buyer Rejection Form

Notice by Buyer of Rejection of Goods for Breach by Seller of Shipment Duties _____________________ Name of Party _______________________________ Street Address or Post Office No. _______________________________ City, State, Zip Code In reference to the agreement between the undersigned and you dated _________________ (date) , for the sale by you to the undersigned of the undersigned for the purchase of _____________ (quantity or units) of _______________________ (type of goods) to be shipped to the undersigned at ___________________________ ________________________________________________________ (street address, city, state, zip code) , the undersigned rejects the shipment made by you for the following reasons: 1. The carrier selected by you and the agreement for transportation made by you was not reasonable having regard to the nature of the goods and all the circumstances of the shipment for the following reasons: (list reasons for unreasonableness of transportation agreement) ______________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________. 2. There was available to you, and reasonable regard to the nature of the goods and the other circumstances of the case required that you employ, the following manner of shipment: (manner of shipment) ____________________ _______________________________________________________________. 3. In consequence of the manner you employed to ship the goods, the goods were not delivered to the undersigned until __________________ (date) , and the duration of the shipment time was _______ (number) days more than would have been the case had shipment been made in the manner stated in Paragraph 2, above. 4. Because of the additional time consumed in transportation, the goods deteriorated to a material extent, as follows: (details of deterioration of goods) ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________. The undersigned therefore exercises the right of rejecting the shipment pursuant to ________________________________ (citation state’s Uniform Commercial Code § 2-504) . Witness my signature, this _____ day of ______________, 20_____. __________________________ Printed Name of Buyer __________________________ Signature of Buyer