Fillable Contract Release & Earnest Money Disposition Request

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Contract Release & Earnest Money Disposition Request Form

Please email this completed form along with the supporting documentation listed below to:

Reason for Cancellation

Supporting Documentation (MUST be submitted with this form)

Lender funding cause of cancellation

Formal denial letter from lender (email from lender not acceptable and will be rejected)

Letter requesting cancellation signed by buyer(s) and broker stating reason(s) for cancellation. All

All other reasons for cancellation

parties MUST sign the letter. Letter MUST include property address. One letter or separate letters

(Unsatisfactory home inspection, termite

are acceptable. MUST include supporting documentation:

inspection, LBP inspection. Death of

copy of home inspection; termite report; lead based paint report; estimate for repairs; documentation

immediate family member, etc.)

of death, etc or other applicable documentation

Purchaser type:

Owner Occupant

Investor

Non-profit or Government Agency

Note: Guidelines for refund of earnest money and non-refundable extension fees are outlined in the Forfeiture and Extension Policy Addendum

Notice is hereby given by the Purchaser(s), _______________________________________________________________________________

that closing will not occur on a certain real estate sales contract between the Purchaser(s) and PEMCO, LTD., Asset Manager for the

Department of Housing and Urban Development as the Seller. The Contract form is the HUD-9548, more particularly described as:

FHA Case Number: ________________________________

Property Address: _______________________________________________

_______________________________________________

The Purchaser(s) and the Seller do not intend to consummate the Contract described above, and hereby agree mutually to release each other from

any and all obligations, liabilities and claims arising from the execution of the Contract.

The Purchaser(s) and the Selling Broker hereby release any and all of their rights, title and interests in and to the subject property, and agree to

accept and follow the guidelines set forth in the Forfeiture and Extension Policy Addendum, and as directed in this document.

The Purchaser(s) hereby request the return of the earnest money deposit in the amount of $__________ and has provided sufficient supporting

documentation with this request as to the reason.

Purchaser signature: _____________________________________

Selling Agent: __________________________________________ Date: _________________________________________________

Selling Agent Email: ____________________________________

To Be Completed by PEMCO, LTD.

Asset Manager for the Department of Housing and Urban Development

As the Closing Agent responsible for holding the earnest money deposit for this transaction, the following instructions must be followed:

100% of the earnest money deposit is to be returned to the purchaser(s)

50% of the earnest money deposit to the purchaser(s) and remit 50% to the U.S. Department of Housing and Urban

Development (HUD) c/o PEMCO, LTD (all checks payable to HUD must be sent to PEMCO’s office identified below)

100% of the earnest money deposit is forfeited. .

Please remit forfeited earnest money within 3 business days to:

PEMCO, LTD made payable to the Housing and Urban Development (HUD)

Mail check directly to: 4500 Cherry Creek South Drive, Suite 410

Glendale, CO 80246

Comments: __________________________________________________________________________________________________

_________________________________________________________________________________

____________________________________________

____________________________

__________________

PEMCO, LTD. Representative

Title

Date Processed

Cancellation Code ____________

DEN Contract Release Form 5.12.14

Contract Release & Earnest Money Disposition Request - Pemco

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