Free notice to vacate 42
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30 Days:

NOTICE TO VACATE HOUSING
Today’s Date:
Resident’s Name:

Lease Expiration Date:

60 Days:

Clear Form

Date Vacating:
Rank:

Address:
Reasonfor move:


PCS
Other

ETS

Retirement

Copy of Orders provided

Forwarding Address:
New Duty Station:

Cell/Alternate Phone Contact:

Report Date:
DD 2558 (stop allotment form) completed and attached (Army, Air Force and Navy excluded):

Coast Guard

Marine
*Effective date is month of move-out
I understand my rent allotment is paid in arrears and partial allotments cannot be processed. Regardless of the vacate date
indicated above, the final allotment is a full month; therefore, any refund that I am due for my last month of residency will
be returned to me in accordance with applicable state law and will be mailed directly to me at the forwarding address listed
above.
Pursuant to the terms of my Resident Occupancy Agreement, I am required to give a ___ day notice to vacate. I understand
that if my notice is given less than