To：__________________________

　　_________[address]________

　　Notice is hereby given that on  [date of delivery] ， I accepted the tender of     [merchandise delivered] under our contract for purchase dated     [date]   .

　　That beginning on    [date]     and continuing to the present date， the following defects in the above mentioned goods have become manifest： [set forth defects]

　　[specify relief sought]

　　Dated：__________________

　　_______________________ [Signature]