MARVIN MANDEL, Governor                                 2599

TO CANCEL THIS TRANSACTION, MAIL OF DELIVER A SIGNED
AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY
OTHER WRITTEN NOTICE, OR SEND A TELEGRAM, TO

(NAME OF SELLER) , AT (ADDRESS OF SELLER'S

PLACE OF BUSINESS)______NOT LATER THAN MIDNIGHT OF

(DATE)

THEREBY CANCEL THIS TRANSACTION.

(DATE)

(BUYER'S SIGNATURE)

(D)    FAIL, BEFORE FURNISHING COPIES OF THE "NOTICE
OF CANCELLATION" TO THE BUYER, TO COMPLETE BOTH COPIES BY
ENTERING THE NAME OF THE SELLER, THE ADDRESS OF THE
SELLER'S PLACE OF BUSINESS, THE DATE OF THE TRANSACTION,
AND THE DATE, NOT EARLIER THAN THE THIRD BUSINESS DAY
FOLLOWING THE DATE OF THE TRANSACTION, BY WHICH THE BUYER
MAY GIVE NOTICE OF CANCELLATION.

(E)    INCLUDE IN ANY DOOR-TO-DOOR CONTRACT OR
RECEIPT ANY CONFESSION OF JUDGMENT OR ANY WAIVER OF ANY
OF THE EIGHTS TO WHICH THE BUYER IS ENTITLED UNDER THIS
SECTION, INCLUDING SPECIFICALLY HIS EIGHT TO CANCEL THE
SALE IN ACCORDANCE WITH THE PROVISIONS OF THIS SECTION.

(F)    FAIL TO INFORM EACH BUYER ORALLY, AT THE TIME
HE SIGNS THE CONTRACT OR PURCHASES THE GOODS OR SERVICES,
OF HIS RIGHT TO CANCEL.

(G)    MISREPRESENT IN ANY MANNER THE BUYER'S RIGHT
TO CANCEL.

(H) FAIL OR REFUSE TO HONOR ANY VALID NOTICE OF
CANCELLATION BY A BUYER AND WITHIN 10 BUSINESS DAYS AFTER
THE RECEIPT OF SUCH NOTICE, TO (1} REFUND ALL PAYMENTS
MADE UNDER THE CONTRACT OR SALE; (2) RETURN ANY GOODS OF
PROPERTY TRADED IN, IN SUBSTANTIALLY AS GOOD CONDITION AS
WHEN RECEIVED BY THE SELLER; (3) CANCEL AND RETURN ANY
NEGOTIABLE INSTRUMENT EXECUTED BY THE BUYER IN CONNECTION