#3090
@001 Enter party revoking acceptance:
@002 Enter name of party providing faulty goods:
@100 Enter date of delivery:
@101 Enter description of the goods:
@102 Enter the reason that the goods were defective:
#3091 Was a demand for adequate assurance made?
#if#3091
@199 Enter date of demand for adequate assurance:
#endif
#3093 Is a lien asserted on the non-conforming goods?
#if#3093
@103 Enter state where delivery took place:
#endif
#3094
#end control section
#3090
/* Para. 3090: Revocation of acceptance */

REVOCATION OF ACCEPTANCE


WHEREAS, on @100, @001 received delivery of the following
described goods from @002:


@101


and, WHEREAS, the goods so described were non-conforming
to the contract because of:


@102
#3091
/* Para. 3032: Demand for adequate assurance */


and, WHEREAS, on @199, a demand for adequate assurance was
made to @002,
#3093
/* Para. 3093: Middle, lien */


and @001 asserts pursuant to Article 2 of the Uniform
Commercial Code of the state of @103 a lien on the goods
for damages caused by the non-conformity.
#3094
/* Para. 3094: End */


Therefore, @001 revokes its acceptance of the goods.



Dated: _______________________________






________________________________________________

@001 by an authorized officer