TruckSystems.pl Sp. z o.o.

St. Zakątkowa 10, 35-317 Rzeszów, email: service@etrucksystems.com

……………., date ………………

Name of consumer(s):

……………………………………………..

Address of the consumer(s)

…………………………………………….. TruckSystems.plSp.z o.o.

Zakątkowa 10 Street

35-317 Rzeszów

Claiming the goods

I inform you that the following purchased by me on...................................... goods:

........................................................................................................................................ is defective.

Invoice No.: ................................................................................................................................................

The defect is:

....................................................................................................................................................................

The defect was identified on......................................................

In view of the above, on the basis of the Act of April 23, 1964 of the Civil Code, I demand*:

◯ replacement of goods with new ones on the basis of Article 561 § 1 of the Civil Code

◯ free repair of goods on the basis of Article 561 § 1 of the Civil Code

◯ reduce the price of the goods by the amount of.................................... (in words: ……………………………………………..................................................................) euro.

Please return the stated amount to your account:

......................................................................................................................................................

◯ I withdraw from the contract and ask for a refund of the price of the goods to my account:

......................................................................................................................................................

If you are a sole proprietor and have purchased the product under a sales contract directly related to your business, mark the correct answer:

◯ I declare that the contract of sale DOES NOT have a professional character for me, which, in particular, results from the object of my business activity.

◯ I declare that the sales contract HAS a professional character for me, which, in particular, results from the subject of my business activity.

* check appropriate

.................................................

Signature