Notice to Vacate First Name* Last Name * Phone * Email* CURRENT ADDRESS Street Address* City * State* Select One...AlabamaAlaskaAmerican Samoa (see also separate entry under AS)ArizonaArkansasCaliforniaColoradoConnecticutFloridaGeorgiaGuam (see also separate entry under GU)HawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana Islands (see also separate entry under MP)OhioOklahomaOregonPennsylvaniaPuerto Rico (see also separate entry under PR)Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUnited States Minor Outlying Islands (see also separate entry under UM)UtahVermontVirgin Islands, U.S. (see also separate entry under VI)VirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Expected Move-Out Date * Will your lease term be completed at the move-out date? * YesNo Please note a receipt will be required to be delivered along with the keys. Are you planning to have the carpets professionally cleaned? * YesNo Please note a receipt will be required to be delivered along with the keys. Are you planning to have the residence professionally cleaned? * YesNo Is everyone in the home moving out? * YesNo Are you on a housing assistance program? (Section 8, VA, etc.) * YesNo Reason for moving * I bought a houseI'm moving to a new cityRent is too highMaintenance issuesI just don't like the houseOther Is there anything we can do to keep you in the home? * New Forwarding Address Street Address* City * State* Select One...AlabamaAlaskaAmerican Samoa (see also separate entry under AS)ArizonaArkansasCaliforniaColoradoConnecticutFloridaGeorgiaGuam (see also separate entry under GU)HawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana Islands (see also separate entry under MP)OhioOklahomaOregonPennsylvaniaPuerto Rico (see also separate entry under PR)Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUnited States Minor Outlying Islands (see also separate entry under UM)UtahVermontVirgin Islands, U.S. (see also separate entry under VI)VirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Additional Information Name your current utility provider for water* Name your current utility provider for electricity * Name your current utility provider for gas* List the property's parking information * Garage Access Code -- Parking Spot # List the Property's key information * How many keys do you have? -- How many garage remotes? -- Any FOB? List the Property's mailbox information * Mailbox Number? -- Mailbox Location? -- How many keys do you have? What is your showing availability? * This is in case we need to set up agent-guided tours to the property before your move-out date. How likely are you to referAtlis Property Managementto someone else? * Select One...109876543210
