Tenant'S Notice To Landlord Of Intent To Vacate Apartment Form

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Tenant’s Notice To Landlord of Intent to Vacate Apartment
Tenant Name (Print):________________________________________________________________________
Tenant Name (Print):________________________________________________________________________
Tenant Name (Print):________________________________________________________________________
Tenant Name (Print):________________________________________________________________________
Apartment Community Name:____________________________________Apartment Number:___________
I/we, the above named Tenant(s), hereby give notice of my/our intent to vacate the above listed Apartment and terminate
my/our tenancy on ______________________________________________. I/we will deliver possession of the
Apartment to the Landlord, by returning the keys to the Apartment, to the Landlord, no later than 4:00 p.m. on the above
noted date.
In accordance with the terms and conditions of my/our rental/lease agreement, there shall be no provision for pro-ration of
partial month’s rent at the termination of tenancy; and if I/we remain in possession of the Apartment any portion of the
month following the termination date month noted above, I/we will be responsible to pay the full month’s rent.
Tenant Signature:____________________________________________ Date:_____________________
Tenant Signature:____________________________________________ Date:_____________________
Tenant Signature:____________________________________________ Date:_____________________
Tenant Signature:____________________________________________ Date:_____________________
Tenant(s) Reason(s) for Vacating the Premises: (Please check all that apply)
Relocation for Job
Relocation for Health/Medical
Relocation for Other Reason
Purchase Home
Renting Single Family Home
Bigger Apartment
Smaller Apartment
Better Apartment/Housing
Better Amenities
Bothered By Children
Bothered By Noise
Bothered by Residents/Neighbors
Bothered By Parking
Bothered By Animals/Pets
Pet Permissive Housing/Apt
Poor Service/Maintenance
Rent Increase/Rent Too High
Cheaper Apartment/Housing
Housing Assistance Award
Other:_________________________________________________________________________________________
_________________________________________________________________________________________________
Deposit Refunds Should be Payable To:
Head of Household and Co-Head(s)
Head of Household Only (Requires all Leasee Initials Below)
_________
__________
__________
__________
Deposit Refunds Should Be Mailed To (Forwarding Address):
__________________________________________________________________________________________________
Street Address
City, State ZIP
Tenant's Vacate Notice rev 9-1-05

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