TO: ________________________

______________________________

______________________________ (address)

Notice is hereby given that we cancel our contract dated for the sale of ______________________ (description of goods) to ______________ (name of firm), for the following reason.

That on _____________ (date), you breached said contract in the following respect:

Cancellation of said contract is effected in respect to that certain installment delivered on ___________ (date) , and for any subsequent delivery of goods, contracted for in said contract, inasmuch as your breach impairs the contract as a whole.

Dated: _____________ __________________

(Signature)