Late Notice to Vacate Request

Late Notice to Vacate Request
Use this form to submit your request to vacate the property and terminate your lease at lease-end if you have missed the deadline that is required in your lease or by state law.

Please note that a cancellation fee will be required, and the fee varies based upon how close you are to your lease termination date. The following fees apply, based upon the date you submit this request:
- $250 if you submit the request 31-60 days prior to the lease expiring
- $500 if you submit the request 21-30 days prior to the lease expiring
- $750 if you submit the request in the final 20 days, PLUS one (1) month's rent in liquidated damages to the landlord
Please note that these fees must be paid at the time notice is given, and notice is not valid if you do not pay the fees.
Your Name:*

First NameLast Name
Your Email*
example@example.com
Property Address*

Street Address

Street Address Line 2

CityState

Zip Code
I understand and agree that I will pay the fee (and liquidated damages, if applicable) listed above; I also understand that this notice is not valid until the funds are received in full by Broker:*

I understand and agree
Signature*

Clear
Should be Empty: