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Appendix A to Part 1041—Model Forms

Model Forms

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Displayed edition2026-07-16
Last updated2026-07-16

Appendix A to Part 1041—Model Forms

A-1 and A-2 Model Forms [Reserved] A-3 Model Form for First Payment Withdrawal Notice Under § 1041.9(b)(2) Regulatory graphic accompanying: A-1 and A-2 Model Forms [Reserved] A-3 Model Form for First Payment Withdrawal Notice Under § 1041.9(b)(2)A-4 Model Form for Unusual Withdrawal Notice Under § 1041.9(b)(3) Regulatory graphic accompanying: A-4 Model Form for Unusual Withdrawal Notice Under § 1041.9(b)(3)A-5 Model Form for Consumer Rights Notice Under § 1041.9(c) Regulatory graphic accompanying: A-5 Model Form for Consumer Rights Notice Under § 1041.9(c)A-6 Model Clause for First Payment Withdrawal Electronic Short Notice Under § 1041.9(b)(4) Regulatory graphic accompanying: A-6 Model Clause for First Payment Withdrawal Electronic Short Notice Under § 1041.9(b)(4)A-7 Model Clause for Unusual Withdrawal Electronic Short Notice Under § 1041.9(c)(4)( ii)(B) Regulatory graphic accompanying: A-7 Model Clause for Unusual Withdrawal Electronic Short Notice Under § 1041.9(c)(4)( ii)(B)A-8 Model Clause for Consumer Rights Electronic Short Notice Under § 1041.9(c)(4) Regulatory graphic accompanying: A-8 Model Clause for Consumer Rights Electronic Short Notice Under § 1041.9(c)(4)

[82 FR 54871, Nov. 17, 2017, as amended at 84 FR 27929, June 17, 2019; 85 FR 44445, July 22, 2020]