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NOTICE TO LANDLORD

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					                                                                                           DATE
                                                                                          STAMP



                                              NOTICE TO LANDLORD


Date:

NAME OF LANDLORD/AUTHORIZED AGENT

ADDRESS

CITY                                        POSTAL CODE                     PHONE NO.



I hereby give you notice that I am giving up possession of the premises:

APT./UNIT NO.                               STREET NO.                      STREET NAME

CITY                                        POSTAL CODE


                                                  - EFFECTIVE 1:00 PM -

                                       On             day of                ,2004


Forwarding Address:


Name of Resident:
Reason for Leaving:




Landlord                                                         Resident




f:\pdf\fc757abd-3baf-44e2-8b64-482052107214.doc        OPS-30B
                                                                                    Revised June 2004

				
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