Contract Cancellation & Earnest Money Request Form

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Contract Cancellation & Earnest Money Request Form 
 
        
 
Notice is hereby given by the purchase(s),__________________________________________________that
closing will not occur for the real estate sales contract between the purchaser (s) and the U.S. Department of
Housing and Urban Development as the seller. The contract form is the HUD-9458, described as:
Case Number: ______________________________________
Contract Ratification Date: __________________________________
Property Address: ________________________________________________________________
The Purchaser (s) and the seller do not intend to consummate the Contract described above.
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 Earnest Money Disposition and Forfeiture of
Earnest Money required in accordance with HUD guidelines, set for in the “Notice to Purchaser
Acknowledgement” as directed.
The Purchaser(s) hereby request the return of the earnest money deposit in the amount of $____________
and has provided suitable supporting documentation with this request as to the reason.
Reason: __________________________________________________________________________
______________________________________________________________________________________ 
____________________________________
______________________
Purchaser Signature
Date
____________________________________
______________________
Purchaser Signature
Date
____________________________________
______________________
Broker/Agent Signature
Date
 
To be completed by Ofori & Associates, PC
As the Closing Agent or as the agency responsible for holding the earnest money deposit for this transaction, you are hereby
instructed to immediately:
Refund 100% of the earnest money deposit to the purchaser(s).
Return 50% of earnest money deposit to the purchaser(s) and remit 50% to the U.S. Department of Housing and Urban
Development (HUD) c/o Ofori & Associates, PC
Remit 100% of the earnest money deposit to the U.S. Department of Housing and Urban Development (HUD) c/o Ofori &
Associates, PC. 
Printed Name: ________________________________________                 Date_________________________________ 
Signature:____________________________________________ 
 

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