Kentucky Revised Statutes Title XXIX. Commerce and Trade § 367.624.Contractor's duty to disclose cancellation rights and provide standard form

(1) The mailing address of the contractor through which written communication may be received;

(2) The telephone number of the contractor and, if applicable, the contractor's facsimile number and email address;

(3) A statement in at least ten (10) point boldface type that states:

“You may cancel this contract at any time before midnight on the fifth business day after you have received written notification from the insurer that all or any part of the contracted goods, services, or goods and services is not a covered loss under the property, casualty, or property and casualty insurance policy. This right to cancel is in addition to any other rights of cancellation you may have under state or federal law or regulation. See the attached Notice of Cancellation form for an explanation of this right.”; and

(4) A fully completed form in duplicate, under the conspicuous caption “NOTICE OF CANCELLATION,” and attached to but easily detachable from the contract, in at least ten (10) point boldface type that shall read as follows:

“NOTICE OF CANCELLATION

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(enter date of transaction)

If you are notified by the insurer that all or any part of the contracted goods, services, or goods and services is not a covered loss under the property, casualty, or property and casualty insurance policy, you may cancel this contract without penalty or monetary obligation before midnight of the fifth business day after you have received the notice. To cancel this transaction, you may use any of the following methods: mail or otherwise deliver a signed and dated copy of this cancellation notice, or any other written notice of cancellation which you sign and date, to (enter physical address of contractor), or email a notice of cancellation to (enter email address of contractor), or transmit a notice of cancellation to (enter facsimile number of contractor), not later than midnight of the fifth day after you receive notice from the insurer.

I HEREBY CANCEL THIS TRANSACTION.

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(Date)

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(Buyer's Signature)”