Sample Revocation Form. If you want to revoke the contract, fill out this form and send it back to: Studentenwerk Wuerzburg Anstalt des oeffentlichen Rechts ◌◌◌◌◌ ◌◌◌◌◌ ◌◌◌◌◌ Fax: ◌◌◌◌◌ Email: ◌◌◌◌◌ Hereby I revoke the concluded rental contract for housing. Information from the rental contract sample - only the individual German version is valid ID number (see above §1): ............................................................................................................................... Housing unit number (see §1): ......................................................................................................................... Address of housing unit (see §1): ..................................................................................................................... Date of conclusion of the rental contract: ......................................................................................................... Name and address of the tenant First name and last name: ................................................................................................................................ Street and house number: ................................................................................................................................ Postcode and city: ............................................................................................................................................ Country: ............................................................................................................................................................ ............................................, ..................................... ....................................................................... (Place) (Date) (Signature tenant) (necessary only if you are submitting
Sample Revocation Form. (If you want to revoke the contract, please fill out this form and return it to VERBI.) To: VERBI Software. Consult. Sozialforschung GmbH, Xxxxxxxxxxxx. 00, 00000 Xxxxxx, E-Mail: xx@xxxxxx.xxx I / we (*) hereby revoke the contract concluded by me / us (*) for the purchase of the following goods / the provision of the following service (*): Ordered on (*) / received on (*) Name of consumer(s) Address of the consumer(s) Signature of the consumer(s) (only in the case of a communication on paper) Date (*) Delete as appropriate.
