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Program/Lease Voluntary Termination Letter
Date: ______________________________________
To: Housing Provider: ______________________________________
Staff Person Name: ______________________________________
RE: Residency
Please be advised that this letter is to serve as a thirty (30) day notice that I intend to
move out of the unit located at:
____________________________________________________________________________________.
To the best of my ability, I will leave the unit in the condition in which I found it.
Please be advised that it is my intention to stay in the unit located at:
____________________________________________________________________________________.
______________________________________ ______________________________________
Signature Print Name
cc: Case Manager
Landlord
Revised 09-2014
Attachment 21