CLARK SELECT PROPERTIES, INC.
WITHDRAWAL FORM
LISTING AMENDMENT
The * denotes mandatory field
Please use this form to WITHDRAW your listing from the MLS system. 
Please use the regular Listing Amendment form if you wish to temporarily take your property off the market (15 days max).
You may make changes on this form as you wish. Listing Withdrawals are $75.00 and MLS change fee $20.

  Important This form is auto filled from your MLS Number, Please enter here
MLS #
If not known, please refer to your personal web page

     Please acknowledge and agree to the following by checking each box:
  I acknowledge that my home is NOT under lease at this time. * (if under lease, please use the "UNDER LEASE " form)
  I would like to Withdraw my listing from the MLS system.  *
Landlord's Name(s):
Property Address:
Mailing Address (if different)

Please click in the white area below and then use your mouse to draw your signature. Please try to make your signature as authentic as possible
 
Important: If more than one landlord, all signatures are required
 
   Please Sign (Landlord #1)
  Name: 
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If you cannot sign in this box, you do not have Java installed.
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To download flash plugin:

    Date:   07-25-2008
 
 
   Please Sign (Landlord #2)
  Name:   
 
    Date:   07-25-2008
 
 
            Broker´s Signature:





            _____________________                                                       Date: _____________________
 
 
 
FORM WD-1 (REV. 1/1/07)
Each Party acknowledges receipt of a copy of this Amendment.
This Amendment is made a part of the original listing agreement.