NOTICE OF TERMINATION OF LICENSE AGREEMENT LICENSOR To: _________________________ (Licensee) _________________________ (Address) _________________________ The agreement dated _____________ (Date), executed by ______________________, of ___________________________________________________________ (Address), as licensor, and by licensee, is declared to be terminated, pursuant to Section ____________________________ of the agreement. Termination will take place as of __________________ (Date). Termination is based upon the following: List any and all reasons for termination along with the specific section numbers of the agreement: _____________________________________________. _____________________________ _____________________ Signature Date _____________________________ _____________________ Signature Date