90 DAY NOTICE OF TERMINATION OF TENANCY
(Housing Choice Voucher Program Only)
TO:__________________________________________________, and all others in possession of the
premises located at:
Street Address____________________________________________________________________
City______________________________________ ZIP__________County of___________________ CA.
You are hereby notified that ninety (90) days after service of this notice, your tenancy at these premises is
terminated. Within that time, you are required to peacefully vacate and surrender possession of the
premises. If you fail to do so, legal proceedings will be instituted against you to recover possession of
the premises, damages and costs of suit. Please note that if a lawsuit is filed against you, it will
negatively affect your credit.
This notice does not cancel your obligation to pay the rent owed until the date of termination.
You have the right to request an initial inspection of your unit and to be present during that initial
inspection, which shall occur no earlier than two weeks prior to the tennination of the tenancy. At this
initial inspection the owner/agent will give you an itemized list explaining any repairs or cleaning that
could be the cause of deductions taken from your security deposit. This list may differ from the final
itemized list you are entitled to receive from the owner/agent within 21 days after you vacate the unit.
Please notify the owner/agent if you wish to request an initial inspection and whether you wish to be
present during the inspection.
Date: ____________ Owner/Agent ___________________________________________
……………………………………………………………………………………………………………….
PROOF OF SERVICE
I, the undersigned, being at least 18 years of age, served this notice, of which this is a true copy, on ,
____________________________________________________________as follows:
[ ] On_______________________, I delivered the notice to the occupant personally,
[ ] On_______________________, I delivered the notice to a person of suitable age and discretion at the occupant's
residence/business after having attempted personal service at the occupant's residence, and business if known.
[ ] On_______________________, I mailed a second copy to the occupant at his or her residence.
[ ] On_______________________, I posted the notice in a conspicuous place on the property, after having attempted personal
service at the occupant's residence, and business, if known, and after having been unable to find there a person of suitable age
and discretion, On________________, I mailed a second copy to the occupant at the property.
I declare under penalty of perjury under the laws of the State of CA that the foregoing is true and correct.
Dated _____________________ Signed ___________________________________________
This sample form is provided as a courtesy by the San Joaquin Fair Housing and does not constitute legal advice.
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