Fax Cancellation form

(This form should be submitted on the Broker's Letterhead)

Electronic Bid Cancellation Form

This form is to be submitted to cancel a bid prior
to the closing of the bid period.

Confirmation # _________________________

Case # _____________________________

Property Address ________________________________

________________________________

Buyer's Name(s) & SS# ___________________________

_________________________________

Company Name __________________________

Broker's Name ___________________________

Broker's Signature ________________________

Date _______________