1234, Main Street
Boston, MA 02123
06 April, 2005
<Recipient Address Goes Here>
This is to notify you that I hereby cancel the Transaction entered into on <transaction date> between <name of other party> and myself.
This notice is being mailed to you on 06 April, 2005, which falls within the three day right of rescission period provided for under Federal Law.
<Optional request for down payment refund.>
encl: <List of enclosed items goes here>