Your Name Current Phone: (###) ###-####
Your Mailing Address
City, CA ZIP Code

Certified mail, return receipt requested

General Manager
Name of Door-to-Door Seller Financial Entity Holding Purchase Contract
Seller's mailing address Financial Entity's mailing address for disputes
City, State Zip Code City, State Zip Code

Re: Contract dated ##/##/#### for a [describe item's Make and Model]

NOTICE OF RECISSION OF A DOOR-TO-DOOR SALE CONTRACT

To the Management of this Seller and the contract's assignee/holder:

On ______ [date], representatives of your company came to my home. When I answered the door, I was not told that they were selling _______ [item: vacuum cleaners, water filters, satellite dishes, etc.] or the company that they represented. I was instead told that they were _____ [example, giving free house cleaning, from the water company and testing water, making sure my TV was working, whatever]. Furthermore, they said that _______ [example, there was no obligation, this was a free trial period, I could cancel in 30 days, I could call to cancel]. But, when I called to cancel, your telephone representative informed me that _______ [it was too late to cancel, once I signed I could not cancel, the salesperson was not authorized to say it was a free trial, I would have to pay a $____ cancellation fee, the contract has been assigned to a creditor so it is too late, etc.]

Because the sales representative did not give me the disclosures required in a door-to-door solicitation, I am rescinding this contract and ask that you refund my down payment and all payments made, and arrange to retrieve the goods. Also, you must immediately stop reporting this account on my credit history to any credit reporting agency.

Please send me a copy of: (a) my credit application and (b) the signed contract, under the California Consumer Contract Awareness Act.

Within 30 days, please confirm to me that you have stopped reporting this account on my credit history or explain to me why you believe that your representative gave me proper notice. I also intend to send a copy of this letter to the consumer credit reporting agencies, for reinvestigation.

Sincerely,

/sign/

YOUR NAME