Portability Request
Date
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current Case Worker
*
K Teague
Martha Ordonez
Liz Garcia
Name
*
First Name
Last Name
Tenant Number if known
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Which Housing Authority are you going to (Receiving Housing Authority Name)
*
Address for Receiving Housing Authority
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Receiving Housing Authority Contact Name if known
First Name
Last Name
Receiving Housing Authority Contact Email
example@example.com
Receiving Housing Authority Phone Number
-
Area Code
Phone Number
Receiving Housing Authority Fax Number
-
Area Code
Phone Number
Expected Move Out Date from current unit
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Approval from Plano Housing Authority is required
*
I understand that I must get approval from Plano Housing Authority before relocating. I also understand that I must give my current landlord a minimum of 30 day written notice (or other amount if specified in my current lease) which must be turned in with this form before moving. I understand that failure to do so may result in immediate termination from the HCV program.
Browse Files
Cancel
of
Signature
*
Date
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Back
Next
NOTICE TO VACATE
NTV Date
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
NTV Tenant Name
First Name
Last Name
NTV Phone Number
-
Area Code
Phone Number
NTV Email
example@example.com
NTV Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
NTV Vacate Date
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
NTV On the date above I will be returning all keys and would like to schedule a move out inspection of the unit with the Landlord. Plano Housing Authority does NOT conduct move out inspections. Landlords/Owners will not receive payment from Plano Housing Authority after the move out date. Notice to Vacate should coincide with the lease ending date and HAP Contract unless relocation has been approved by Plano Housing Authority for emergency reasons.
*
I agree to vacate on the date I provided. If I stay in the unit I will be responsible for the ongoing rent.
Signature
*
Date
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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