John Henry Doe
c/o 123 Main Street
Anytown [12345]
State Name Here STATE

								TODAYS DATE HERE
CREDITOR NAME HERE
123 RIPOFF LANE
ANOTHER TOWN, TX 54321

Re: John Henry Doe’s Documentation and Property

NOTICE OF RESCISSION OF TRANSACTION AND DEMAND FOR John Henry Doe’s PROPERTY AND DOCUMENTATION
			
Dear CREDITOR NAME HERE,

This is my formal written NOTICE AND DEMAND, pursuant to 82nd Stat. Public
Law 90-321- May 29, 1968 Chapter 2 § 125.and John Henry Doe‘s un-rebutted affidavit sent on (DATE HERE) evidenced by U.S. Post Office certified mail # _________________________ , for you to “shall return any money or property of Affiant including but not limited to any original documentation”.

CREDITOR NAME HERE further agreed to remove any an all security interests, including but not limited by any public recordings, notices and advertisements. Please send facts and first hand evidence of the same to John Henry Doe within 10 business days as required by law at 82nd Stat. Public Law 90-321 May 29, 1968.

This shall be the only NOTICE AND Demand needed, because of CREDITOR NAME HERE’s default, for both larceny and the return of any property and documentation or evidence of damages within 10 business days with John Henry Doe’s name appearing therein. 

In the event CREDITOR NAME HERE does not return any documentation referred to herein CREDITOR NAME HERE agrees to pay Affiant the face value of any property, notes or securities and any other damages or property damages caused Affiant by CREDITOR NAME HERE’s default.   

	If the property and documentation stated herein is not returned immediately this Demand shall constitute a legal binding and mutually agreed upon validated bill for the sum certain amount of $________________ due John Henry Doe from CREDITOR NAME HERE.

			Sincerely,

							__________________________	
John Henry Doe

Sent via United States Post Office Certified Mail # 
Jurat

On this day came before me the Affiant a living flesh and blood man to oath and attest and affirm the signature is true, complete, and correct on the foregoing affidavit.  John Henry Doe the undersigned, who is personally known by me or upon proper oath and identification, personally came before me, the subscriber, a notary public in and for said County and State, and Duly Affirmed the truth of the foregoing Affidavit in my presence.  The Affiant also acknowledged the signing thereof to be his own voluntary act and deed.  Signing the within instrument in my presence and for the purpose therein stated.

Signed this day________________, of____________________, ______________ at 

________________________________.

My commission expires on: ________________________

By_________________________ 

seal:___________________

PROOF OF SERVICE

One, John Henry Doe, a living breathing man, does hereby swear and affirm on One’s own unlimited commercial liability, that true, correct and complete copies of this Notice and Demand for property and documentation have been served this date TODAYE DATE HERE addressed as follows:

via Certified Mail #  to:

CREDITOR NAME HERE, 
123 RIPOFF LANE
ANOTHER TOWN, TX 54321

	

By:___________________________

Sworn to and subscribed before me, on TODAYE DATE HERE a man known as John Henry Doe came before me, a notary, and attested to the truth of this Notice and Demand for property and documentation with his signature to be true, complete and correct.

NOTARY PUBLIC _________________________________		SEAL
Address:
_______________________________
_______________________________	My commission expires __________, 200  .