Viatical Rescission Document Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Viatical Rescission Document Form. This is a Kentucky form and can be use in Blue Sky Secretary Of State.
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Tags: Viatical Rescission Document, 10-410, Kentucky Secretary Of State, Blue Sky
OFFER OF RESCISSION
Kentucky law requires this offer to be made to the investor on the passage of 90 days from the
date of execution of the viatical settlement purchase agreement by the investor.
INVESTOR:
Because we have not found a policy matching the terms specified in the viatical settlment
purchase agreement, you have the right to rescind (cancel) your purchase until
___________________.
DATE
IF YOU DECIDE TO RESCIND (CANCEL) YOUR PURCHASE—NOTICE MUST BE
MAILED, POSTAGE PREPAID, OR DELIVERED TO:
Name:
Address:
Name of sales agent:
Name of viatical company.
The Kentucky Office of Financial Institutions is the agency of state government responsible for
the licensing of brokerage firms, investment advisers, and their agents and employees; the
registration of securities products, and enforcement of the State’s securities laws. Anyone with
questions or concerns about viatical settlements, life settlements, or other investments may call
the Office at 1-800-223-2579 or send mail to Kentucky Office of Financial Institutions, 1025
Capital Center Dr., Suite 200, Frankfort, Kentucky, 40601. The Office’s web site is
www.dfi.state.ky.us.
The Office of Financial Institutions does not endorse or recommend any securities or
investment product or individual or company selling any such product.
KY Form 10:410
December 2000 edition
American LegalNet, Inc.
www.USCourtForms.com