Notice of Intent to Vacate/ EVICTION HOLD-OFF

Date of Notice: Account:

Name of Resident:

Street Address:Telephone:

I, , hereby serve notice that I intend to vacate the above mentioned apartment on

the ______day of ______20_____ rather than have an eviction filed against me for the

following lease violation(s):

.

(Note to Tenant: If you have fulfilled all the other 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. Your liability is not limited to the amount of your security deposit.)

  1. I am responsible for any and all costs incurred by my family or 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 and the full rent through the date of actual vacating.
  4. My failure to return all keys (apartment, mail box, hose, storage, etc.) issued for my apartment will result in a $15.00 charge to re-key the apartment. I also understand that the apartment will not be considered vacated and I will be responsible for rent until ALL keys are returned.
  5. I understand that submitting this notice does not relieve me of any liability that I may have under my present Lease Agreement.
  6. I agree that if the eviction process has been started by (PHA) giving me notice to vacate or by filing an eviction lawsuit, (PHA)’s acceptance of partial payments has not and will not waive their right of eviction and will not void any eviction lawsuit. (PHA) may still file the eviction lawsuit if it has not already been filed and eviction filing and service will not be delayed.
  7. I understand that (PHA) agrees to postpone any default judgment and/or the eviction trial or hearing as long as I vacate the unit by the above date. I understand that if I do not vacate the apartment by the above date,(PHA) will be entitled to seek an eviction judgment based on, but not limited to, the above lease violation(s).

I intend to move to (security deposit refund, if any, will be mailed to forwarding address or current address, if no forwarding address is provided):

StreetCityStateZip Code

Resident's SignatureDate Signed

Received By: Date Received: