NOTICE OF RIGHT
TO CANCEL Your
Right to Cancel
You are entering into a transaction
that will result in a [mortgage/lien/security interest] [on/in] your
home. You have a legal right under federal law to cancel this transaction,
without cost, within three business days from whichever of the following
events occurs last:
(1)
the date of the transaction, which is
; or
(2)
the
date you received your Truth in Lending disclosures; or
(3)
the date you received this notice of your right to cancel.
If you cancel the transaction, the [mortgage/lien/security
interest] is also cancelled. Within 20 calendar days after we receive
your notice, we must take the steps necessary to reflect the fact
that the [mortgage/lien/security interest] [on/in] your home has been
cancelled, and we must return to you any money or property you have
given to us or to anyone else in connection with this transaction.
You may keep any money or property we have given you until
we have done the things mentioned above, but you must then offer to
return the money or property. If it is impractical or unfair for you
to return the property, you must offer its reasonable value. You may
offer to return the property at your home or at the location of the
property. Money must be returned to the address below. If we do not
take possession of the money or property within 20 calendar days of
your offer, you may keep it without further obligation.
How to Cancel
If you decide to cancel this transaction, you
may do so by notifying us in writing, at
(creditor’s name and business address).
You may use any written statement that is signed
and dated by you and states your intention to cancel, or you may use
this notice by dating and signing below. Keep one copy of this notice
because it contains important information about your rights.
If you cancel by mail or telegram,
you must send the notice no later than midnight of
(date)
(or midnight of the
third business day following the latest of the three events listed
above). If you send or deliver your written notice to cancel some
other way, it must be delivered to the above address no later than
that time.
I WISH TO CANCEL.
Consumer’s Signature Date