Model withdrawal form
Draft – not yet legally reviewed or approved. This text is published for review; open points are marked. It is not an attorney-reviewed or final version.
[PRÜFEN — Issue D: the German counterpart matches the consolidated Annex 2 EGBGB (wording since 28.05.2022; buzer.de, retrieved 29.10.2026); check against the official text and the EU model.]
(Complete and return this form only if you wish to withdraw from the contract.)
- To NEXOVIA Consult LLC, 7901 4th St N, STE 300, St. Petersburg, FL 33702, USA, email: kontakt@advokatia.com:
- I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*),
- Ordered on (*)/received on (*),
- Name of consumer(s),
- Address of consumer(s),
- Signature of consumer(s) (only if this form is notified on paper),
- Date
(*) Delete as appropriate.