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Explanatory Statement Non-Prejudice Statement ESNPS - Ohio
| Explanatory Statement Non-Prejudice Statement Form. This is a Ohio form and can be used in Securities Blue Sky Secretary Of State . |
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Explanatory Statement/Non-Prejudice Statement Dear ________________________ : ________________________________________________________________in which you own an interest, has applied to the Ohio Division of S ecurities under S ection 1707.39 of the O hio Revised Code for the r etroactiv e qualification of the securities you purchased on ____________________ . In order to process our application with the Ohio Division of Securities, we are required to notify you of the following: 1. The securities sold to you were sold in violation of the Ohio Securities Act because ________________________________________________________________________ _________________________________________________________ ________________________________________________________________________ _________________________________________________________2. Accordingly, under Section 1707.43 of the Ohio Revised Code you may have the right to void your purchase and obtain a refund of your purchase price. 3. You may wish to consult an attorney before completing this form. Please place a check mark in one of the following boxes. I am satisfied that the sale made to me, while it may have been in violation of law or administrative rule, did not damage or defraud me. I do not wish my investment returned to me. I hereby waive my rights under 1707.43 of the Ohio Revised Code which I possess because of the above stated violation. I desire a return of my original investment. I do not desire a return of my investment but do not wish to waive any of my rights under s ection 1707.43 of the Ohio Revised Code at this time because: (state reason) ________________________________________________________________________ _________________________________________________________ ________________________________________________________________________ _________________________________________________________ ________________________________________________________________________ _________________________________________________________Note: Ohio Revised Code Section 1707.43 provides that an investors right to rescind terminates thirty (30) days after a written offer to takeback the security and refund the purchase price. This could constitute such an offer under Ohio Revised Code Section 1707.43.This form, along with the forms given to other investors, will be submitted to the Ohio Division of Securities. They may be in touch with youconcerning our application. Please cooperate with them fully. (Please Print) Name:________________________________ Date: ________________________ Address: ______________________________ Phone: ________________________(work) _____________________________________ ________________________(home) I know that I have the right to rescind and receive my money back and hereby elect not to have my money returned to me. Signatures: I, _______________________________________________am aware that the sale made to me was in violation of the Ohio Securities Act or rules. I, _______________________________________________am aware of my rights to a return of my investment under section 1707.43 of the Ohio Revised Code. I, _______________________________________________have read this form and have placed a checkmark in the box which reflects my wishes. American LegalNet, Inc. www.USCourtForms.com
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