NOTICE OF RESCISSION OF RELEASE
TO ____________________________
Notice is hereby given that the undersigned,______________, rescinds that certain release executed by him on (date) , whereby he released you from any and all claims arising out of (subject for which release was executed), on the following grounds:
The undersigned agrees to restore to you total consideration received by you for his execution of the release, including (consideration received).
Dated: (Signature)
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