Today's Date *

MM

DD

YYYY

Tenant Name *

First Name

Last Name

Current Address *

Please include Unit Number

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Forwarding Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Move-Out Date *

MM

DD

YYYY

I am aware that I must give my Notice to Vacate in writing at least # days prior to the end of my Lease Agreement. *

Yes

For Month-to-Month Tenancies: I am aware that in accordance with my Rental Agreement, if a full ### Notice to Vacate is not given prior to the end of the month I will be responsible for rent for the following month and my lease will end the last day of the next month. *

Yes

I am aware that I am legally obligated to fulfill the terms of my contract through its entire duration. *

Yes

I am aware that if keys to the Rental are not returned by the last day of the month I will be responsible for the next month's rent. *

Yes

I am aware that I must leave the unit in the same condition as when I moved in by completing the entire move-out cleaning checklist. I am aware that any cleaning or repairs needed to the Rental after I have vacated will be billed at my expense and deducted from my security deposit. *

Yes

Electronic Signature *

First Name

Last Name