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Contract Release and Earnest Money Disposition Request Form

Notice is hereby given by Purchaser(s), ___________________________________________________________________

[Print clearly or type name(s)]

that closing will not occur on a certain real estate sales contract between Purchaser(s), and the Asset Management Contractor for the U.S. Department of Housing and Urban Development (HUD) as Seller. The contract form is HUD-9548, more particularly described as:

Property Address: ______________________________________________________ Case #: __________________ ______________________________________________________ Contract Date: _________________

Purchaser(s) and 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.

Purchaser(s) and 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 required in accordance with HUD guidelines, set forth in the "Forfeiture of Earnest Money Addendum," and as directed in this document.

Purchaser Signature: _______________________________ Purchaser Signature: ________________________________

Selling Broker: ____________________________________ Phone: ___________________ Date: ___________________

Purchaser(s) hereby request return of the earnest money deposit in the amount of $ ________________ and provide a letter of explanation and suitable documentation as to the reason. Directions: Complete this form and email with all supporting documentation to the AM Contractor at the appropriate address noted on page 2.

To be completed by the AM Contractor

As the Selling Broker or as the Closing Agent responsible for holding the earnest money deposit for this transaction, you are hereby instructed immediately to: Return 100% of the earnest money deposit to the Purchaser(s) Return 50% of the earnest money deposit to the Purchaser(s) and remit 50% to HUD c/o the AM Contractor Remit 100% of the earnest money deposit to HUD c/o the AM Contractor Comments: _________________________________________________________________________ ___________________________________________________________________________________________ The Prime Contractor for the U.S. Department of Housing and Urban Development: Signed: _______________________________________________ Date: ________________________ Name: ________________________________________________ Title: ________________________

Rev. 10/13/11

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Contract Release and Earnest Money Disposition Request Form *Additional Instructions*

Directions: Complete the above form and email with all supporting documentation to the AM Contractor at the address noted below.

Contract Areas (1A & 2A) - Alabama, Florida, Georgia, Illinois, Indiana, Kentucky, Mississippi, North Carolina, South Carolina and Tennessee, U.S. territories of Puerto Rico and U.S. Virgin Islands. Email to: [email protected] or [email protected] Subject: Contract Cancellations If mailed, HomeTelos 1A & 2A Attn: Contract Cancellations 1283 Murfreesboro Pike, Suite 200 Nashville, TN 37217 Contract Areas (1D & 2D) - Arkansas, Colorado, Kansas, Louisiana, Missouri, New Mexico, Oklahoma, Texas and Utah. Email to: [email protected] or [email protected] Subject: Contract Cancellations If mailed, HomeTelos 1D & 2D Attn: Contract Cancellations 5040 Addison Circle, Suite 300 Addison, TX 75001 Contract Area (2P) - Delaware, District of Columbia, Maryland, Ohio, Pennsylvania, Virginia and West Virginia. Email to: [email protected] Subject: Contract Cancellations If mailed, HomeTelos 2P Attn: Contract Cancellations 405 Silverside Road, Suite 210 Wilmington, DE 19809

Rev. 10/13/11

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