Annex 2 to Article 246a section 1 (2) EGBGB
Withdrawal form
On this page
This page carries the official model withdrawal form word for word. You can copy it, write it out, or print this page and send it to us completed.
The notice explaining when you have a right of withdrawal, how long the period runs and what withdrawal does to the contract is on our right of withdrawal page, linked at the foot of this page.
This English text is a translation for your convenience. A withdrawal under German law follows the German wording, and the German version of this page prevails if the two differ.
You do not have to use this form
The model is an offer, not a condition. Any unequivocal statement that makes clear you no longer want the contract is enough. One plain sentence by email will do.
The law obliges us to make the model available to you (Article 246a section 1 (2) sentence 1 no. 1 EGBGB). It does not oblige you to use it. The advantage of using it is that none of the details we need to identify your order goes missing.
To meet the deadline, it is enough that you send your statement before the fourteen days run out. For a withdrawal, the day it reaches us does not matter.
Where to send the form
By email to [email protected]. You can type the text out, scan the completed form or photograph it. Any of these is enough.
By letter to:
SIMO GmbH
Würzburger Str. 152
63743 Aschaffenburg
Germany
You can also reach us by phone on +49 6021 327 45 50. A withdrawal by phone is valid, but hard to prove. We therefore recommend email or a letter.
Why the wording stays untouched
The text below is prescribed by law. We do not shorten it, we do not smooth it out, and we do not rewrite it. The bracketed notes with the asterisk belong to it: they tell you which entry to delete when it does not fit your case.
That is why the model reads more stiffly than the rest of this website. It is meant to. A nicer version would be a different version, and a different version protects you less well.
Model withdrawal form
Annex 2 to Article 246a section 1 (2) sentence 1 no. 1 of the Introductory Act to the German Civil Code. Complete and return this form only if you wish to withdraw from the contract. Using it is not obligatory. Any unequivocal statement will do.
- To SIMO GmbH, Würzburger Str. 152, 63743 Aschaffenburg, Germany, phone +49 6021 327 45 50, email [email protected]:
- I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*)
- Ordered on (*)/received on (*)
- Name of consumer(s)
- Address of consumer(s)
- Signature of consumer(s) (only if this form is notified on paper)
- Date
(*) Delete as appropriate.
You can print this page and send the completed form to the address above. An email with the same content is equally sufficient.
Version of August 9, 2026