Fill and Sign the Rescission 497331076 Form

Notice of Right of Rescission Re: $_______________ (Dollar Amount) Mortgage on Property Situated at _____________ ______________________________________________________________________ (street address, city, county, state, zip code) , Notice of Customer Required by Federal Law: You have entered into a transaction on __________________ (date) which may result in a lien, mortgage or other security interest on your home. You have a legal right under federal law to cancel this transaction, if you desire to do so, without any penalty, or obligation, within three business days from the above date or any later date on which all material disclosures required under the Truth in Lending Act have been given to you. If you so cancel the transaction, any lien, mortgage or other security interest on your home arising from this transaction is automatically void. You are also entitled to receive a refund of any down payment or other consideration if you cancel. If you decide to cancel this transaction, you may do so by notifying _____________________________ (Name of Creditor) at ___________________________________________________ _______________ (street address, city, county, state, zip code) , by mail or telegram sent not later than midnight of ________________ (date) . You may also use any other form of written notice identifying the transaction if it is delivered to the above address not later than that time. This notice may be used for that purpose by dating and signing below. I hereby cancel this transaction. ________________________________ ________________ (Customer's Signature) (Date) Receipt is herewith acknowledged of the foregoing Notice by the undersigned Customer having received two copies thereof, and one copy of the Disclosure Statements concerning the above identified transact ion this ________________ (date) . ________________________________ ________________ (Customer's Signature) (Date)