Unregistered Security Rescission Offer Form (Page 2 of 2) in pdf

Unregistered Security Rescission Offer Form Page 2

Unregistered Security Recission Offer Form

You have 30 days from the date you receive this letter to accept this offer. Attached to

this letter is a form for you to complete and return to us. Check the box that corresponds

to your decision, sign and date the form, and mail the form in the enclosed envelope.

Please fill out and return the form even if you decide to keep your investment. If you do

not respond within 30 days after you receive this letter, we will not repurchase your [type

of security] and you will remain an investor in [Issuer/Investment Name].

If you have any questions about this rescission offer, you may contact [Contact Name at

Offeror] at [Phone Number].

[Salutation]

[*Note to Offeror: The “legal rate of interest” is described at 14 M.R.S.A. §1602-B(3). It

is also calculated annually and posted on the Office of Securities web site at:

maine.gov/pfr/sec/sec_forms.htm]

To:

[Contact Name at Offeror]

[Offeror Name]

[Offeror Address]

RE: RESCISSION OFFER

Dear [Contact Name at Offeror]

I have received your letter dated [Date of Letter] and considered your offer of

rescission respecting my investment in [Issuer/Investment Name].

_____ I accept the offer of rescission. Please return my invested capital to me

with interest.

_____ I do not accept the offer of rescission. I want to keep my investment.

Date: _______________

Signature: ____________________________

[Type Investor Name]

Unregistered Security Rescission Offer Form Page 2