Request for Cancellation



Date



Servicer Name
Servicer Address
City, State ZIP code




Dear (Servicer),


I would like to determine if I'm eligible to cancel my PrivateMI on loan number (fill in number). The property location is (street address, city, state, zip). Please send me the requirements for canceling PrivateMI on my loan.

Please contact me at (your address along with your complete phone number) and let me know the status of this request or if you need further information. 

Thank you for your time and help with this matter.



Sincerely,




Your name