Brian P. Kemp
MUTUAL AGREEMENT FOR TERMINATION OF LEASE
Address of Unit:
By mutual agreement, the above parties agree that the present lease for the rental unit listed above shall be
terminated on the last day of the month of , 20 . Both parties also acknowledge that the Housing Assistance
Payment contract between the Georgia Department of Community Affairs (DCA) and the Owner/Landlord will
also terminate on that date.
The parties further acknowledge that the purpose of this agreement is to verify termination of lease for
purposes of the Housing Choice Voucher program and it does not usurp any either party’s legal rights or
responsibilities regarding their landlord-tenant relationship of either party.
Declaration of Tenant: I am the designated Head of Household and agree with the above statements and will
be moving from the unit on the date stated above. I understand that if I remain in the unit after