OTHER DOCUMENTS If you want to include other documents about why you object to the settlement, attach them to this form. REMEMBER! Only sign and return this form if you object to the settlement. – DON’T sign and return this form if you do NOT object to the settlement. [Write the DATE here]: ________________________ your here]: ____________________________ SIGNATURE [Write your NAME here]: __________________________
OTHER DOCUMENTS If you want to include other documents about why you object to the settlement, attach them to this form. REMEMBER! – Only sign and return this form if you object to the settlement. DON’T sign and return this form if you do NOT object to the settlement. [Write the DATE here]: ________________________ your SIGNATURE here]: ____________________________ [Write your NAME here]: __________________________
vid13672013-settlement-notice-31may2016.docx