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AFFIDAVIT
AND WAIVER OF
RIGHT OF RESCISSION
We, __________________,
___________________, and
______________________________ as
Tenants in _____________ (the
"Customer"), being first duly
sworn, hereby depose and say that:
We have entered into a
$_______________ loan transaction
with _______________ Bank and Trust
Company, ______________,
____________________ (the
"Creditor") on ______________, 19__
which may result in a lien, mortgage,
or other security interest
on our home.
We hereby waive our right to
rescind the transaction for
the following reasons:
The extension of credit is
vitally necessary to meet a
bonafide personal financial emergency,
whereby a delay of three
(3) business days in performance of
Creditor's obligation under
this transaction will jeopardize our
financial welfare and
endanger us and our family.
Therefore, We hereby waive our
right of rescission and do
so under the pains and penalties of
perjury this _______day of
___________, 19__.
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