MI Notice of Account Suspension

Date:

To: (lender/address)

Re: Borrower(s):

Loan No.

Company Commitment No.

To Whom It May Concern:

The undersigned borrower(s) hereby demands the following:

a. Immediate suspension of the above-identified loan account such that there shall be no further disbursement of funds for or on account of borrower(s), and

b. Immediate issuance of a payoff statement

Please immediately contact the undersigned if anything further is required in this regard.

___________________________

(borrower)

__________________________

(borrower)

No guidelines are available for this form at this time.