Landlord Name & Address
I (print name)____________________________,
am giving notice to vacate the unit located at (current address)__________________________________________________.
will be completely moved out by (enter date) ________________________.
the above family leave owing a balance? ( ) yes
or ( ) no
so how much?_____________________
you set up a repayment agreement? ( ) yes or (
so please attach a copy of this agreement.
LANDLORDS-The Section 8 Office strongly urges you to complete a walk-through inspection of your unit with the tenant before
signing this form. If no is checked on the two questions above, Section 8 will
assume that the tenant is leaving in good standing with you and process the tenants new move as scheduled.***
fully understand that after I submit this form I have to be issued a voucher and an RTA package before I am able to move.
the event that I will be remaining in the above-mentioned unit I must notify this office in writing within ten (10) business
days before my move out date. If I do not notify this office in writing I understand
that I am responsible for the following months full rent.
will clean the unit and repair any damages caused by my family before vacating. I
will contact the landlord on the day of my departure in order to return the keys.