Notice of Intent to Vacate

Name(Required)

First Last

I am submitting a thirty day Notice of Intent to Vacate my current unit located at :(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

It is my intention to vacate completely, no later than(Required)

Tenant Phone Number(Required)

I ACKNOWLEDGE THAT THE ABOVE TENANT IS VACATING MY UNIT ON THE DATE SPECIFIED. AS OF THIS DATE, THE FOLLOWING APPLIES:

Tenant rent is current:(Required)

Yes

If no, indicate the amount owed(Required)

Tenant water bill is current:(Required)

Yes

If no, indicate the amount owed(Required)

Damages to unit(Required)

Are expected.

Are not expected.

If expected, estimated repairs are(Required)

Landlord Phone Number(Required)

Contact Information