This is a notice sent by a tenant to a landlord informing the landlord that the tenant
intends to vacate the leased property. The notice includes the effective date of
departure as well as the reasons the tenant wants to depart the premises. However, the
notice may not relieve the tenant of his or her duties and obligations under the original
lease agreement if the tenant vacates before the expiration of the lease. This document
should be used by individuals or entities that want to notify their landlord that they intend
to vacate the property.
Notice of Intent to Vacate
(Note: This form may vary by state as it is based on state law)
TO: ________________________________[Name & Address of Receiving Party]
FROM: _____________________________[Name & Address of Vacating Party]
UNIT#: _______________________[Number of Apartment or Unit that will be vacated]
DATE OF NOTICE: _______________________[Insert Date Letter Sent]
SUBJECT: _________________[Describe Nature/Reason that Premises will be Vacated]
Dear: ______________________[Name of Receiving Party]:
I, the undersigned, hereby serve notice that I intend to vacate the above-mentioned premises on
the _________________ day of ________________________ 201___.
[Note to Tenant: If you have fulfilled all the terms of your lease you may anticipate a
deposit refund. However, in order to receive a complete refund, you must comply with
the following items. Keep in mind that your liability may not be limited to the amount of
your security deposit.]
Tenant Realizes that:
1. I am responsible for any and all costs incurred by any other party due to my failure to
vacate the premises on or before the date indicated above.
2. I may not rescind this Notice nor may I change the date of vacating except by written
consent of the property owner/manager.
3. I am responsible for all incurred utility bills through the date of actual vacating. [where
4. I am responsible for the full last month's rent. My security deposit may NOT be applied
toward payment of any rent due.
5. My failure to return all keys (apartment, mail box, laundry room, storage, etc.) issued for
my unit will result in a charge for each key. I also understand that the unit will not be
considered vacated and I will be responsible for rent until ALL keys are returned.
6. I understand that submitting this Notice does not relieve me of any liability that I may
have under my present Lease Agreement.
© Copyright 2013 Docstoc Inc. 2
Detailed reason for vacating:
Vacating Resident’s Signature ______________________________
Date Vacating ___________ 201__
Received By: _________________________________________
© Copyright 2013 Docstoc Inc. 3
INFORMATION AND FORMS ARE PROVIDED "AS IS" WITHOUT ANY EXPRESS OR IMPLIED WARRANTY OF ANY KIND
INCLUDING WARRANTIES OF MERCHANTABILITY, NONINFRINGEMENT OF INTELLECTUAL PROPERTY, OR FITNESS
FOR ANY PARTICULAR PURPOSE. IN NO EVENT SHALL DOCSTOC, INC., OR ITS AGENTS, OFFICERS, ATTORNEYS,
ETC., BE LIABLE FOR ANY DAMAGES WHATSOEVER (INCLUDING, WITHOUT LIMITATION, DAMAGES FOR LOSS OF
PROFITS, BUSINESS INTERRUPTION, LOSS OF INFORMATION) ARISING OUT OF THE USE OF OR INABILITY TO USE
THE MATERIALS, EVEN IF DOCSTOC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. They are for
guidance and should be modified by you or your attorney to meet your specific needs and the laws of your state or jurisdiction. Use at
your own risk. Docstoc® is NOT providing legal or any other kind of advice and is not creating or entering into an Attorney-Client
relationship. The information, reports, and forms are not a substitute for the advice of your own attorney. The law is a personal matter
and no general information or forms or like the kind Docstoc provides can always correctly fit every circumstance.
Note: Carefully read and follow the Instructions and Comments contained in this document for your customization to suit your specific
circumstances and requirements. You will want to delete the Instructions and Comments from open bracket (“[“) to close bracket (“]”)
after reading and following them. You (or your attorney) may want to make additional modifications to meet your specific needs and the
laws of your state. The Instructions and Comments are not a substitute for the advice of your own attorney.
◊ Where within this document you see this symbol: ◊ or an instructio