Appendix A to Part 1041 - Model Forms
A-1 [RESERVED]
A-2 [RESERVED]
A-3 Model Form for First Payment Withdrawal Notice Under § 1041.9(b)(2)
![Model form A-3](https://files.consumerfinance.gov/f/images/cfpb_regulations_1041-A-3.original.png)
A-4 Model Form for Unusual Withdrawal Notice Under § 1041.9(b)(3)
![Model form A-4](https://files.consumerfinance.gov/f/images/cfpb_regulations_1041-A-4.original.png)
A-5 Model Form for Consumer Rights Notice Under § 1041.9(c)
![Model form A-5](https://files.consumerfinance.gov/f/images/cfpb_regulations_1041-A-5.original.png)
A-6 Model Clause for First Payment Withdrawal Electronic Short Notice Under § 1041.9(b)(4)
![Model form A-6](https://files.consumerfinance.gov/f/images/cfpb_regulations_1041-A-6.original.png)
A-7 Model Clause for Unusual Withdrawal Electronic Short Notice Under § 1041.9(b)(4)(ii)(B)
![Model form A-7](https://files.consumerfinance.gov/f/images/cfpb_regulations_1041-A-7.original.png)
A-8 Model Clause for Consumer Rights Electronic Short Notice Under § 1041.9(c)(4)
![Model form A-8](https://files.consumerfinance.gov/f/images/cfpb_regulations_1041-A-8.original.png)