2019-06 Form C
Residential Tenancies Program 1-800-670-4357 www.novascotia.ca/rta
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Guide Form C: Tenant’s Notice to Quit
(subsection 10(1) or 10(3) of the Residential Tenancies Act)
What is this form for?
Use this form to give a landlord notice that you are leaving at the end of a lease term.
This will end the lease for all tenants.
How to complete this form?
To
Give the landlord’s name as it appears in the lease. If you do not have a lease, use the landlord’s
company name or full name.
Address of residential premises
Give the complete address of the place being rented as it appears on the lease. If you do not have a
lease, give the full civic address, including the postal code.
My tenancy is
Check the box that applies to you. You must give this form with appropriate notice time to the
landlord. Note the important information box on the form regarding the timing of notices.
Year-to-year: This form must be given to your landlord at least 3 months before the end of your lease.
(See clause 10(1)(a) of the act.)
Month-to-month: This form must be given to your landlord at least 1 month before the end of any
month. (See clause 10(1)(b) of the act.)
Week to week: This form must be given to your landlord at least 1 week before the end of any week.
(See clause 10(1)(c) of the act.)
Manufactured home: This form must be given to your landlord at least 1 month before the
termination of the tenancy. (See clause 10(3)(b) of the act.)
I give notice that I am terminating my tenancy on
Date: Give the date that you will leave.
Security deposit return
This section is optional.
If you wish the landlord to return the security deposit, provide a mailing address or contact the landlord to
make other arrangements. The Residential Tenancies Program recommends that landlords and tenants,
or their representatives, inspect the unit at the end of the lease and make a written agreement about the
return of the security deposit.
2019-06 Form C
Residential Tenancies Program 1-800-670-4357 www.novascotia.ca/rta
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What do I do with the completed form?
Formally serve the landlord with the original of this Form C.
You may do this in several ways:
1 Hand the form in person to the landlord or an agent of the landlord, the property manager, or the
superintendent. You can also have someone else do this for you.
Date served is the same date.
2 Leave a copy in the landlord’s mailbox or mail slot at an address listed in the lease for the
landlord, property manager, or superintendent.
Date served is the same date.
3 Send it by pre-paid registered mail, express post, or courier service to an address
stated in the lease
where the landlord carries on business as a landlord
where the rent is payable
Date served is the 3
rd
day after the date mailed. Keep a copy of the receipt showing proof the
notice was prepaid, properly addressed, and sent.
4 Send it electronically, but only if the landlord has provided an electronic address in the lease
to receive documents. The electronic copy must be substantially the same as the original and
capable of being retained by the landlord so they can use it for later reference.
Date served depends on the time and the day sent as follows:
If sent before 4:00 pm on any day other than a Saturday, Sunday, or holiday, it is deemed to
have been served on the day sent.
If sent after 4:00 pm on any day, it is deemed to have been served on the next day that is not
a Saturday, Sunday, or holiday.
If sent on a Saturday, Sunday, or holiday, it is deemed to have been served on the next day
that is not a Saturday, Sunday, or holiday.
Keep a copy of this form for your records.
Guide
Form C: Tenant’s Notice to Quit
2019-06 Form C
Residential Tenancies Program 1-800-670-4357 www.novascotia.ca/rta
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F1
To (landlord’s name)
Tenant’s name
Address of residential premises
Street number and
name (civic address)
Apartment
City or town  Province Postal code
My tenancy is (check one)
q Year to year - This form must be given to your landlord at least 3 months before the end of your lease.
(see clause 10(1)(a) of the Act)
q Month to month - This form must be given to your landlord at least 1month before the end of any
month. (see clause 10(1)(b) of the Act)
q Week to week - This form must be given to your landlord at least 1 week before the end of any week.
(see clause 10(1)(c) of the Act)
q Manufactured home - This form must be given to your landlord at least 1 month before the
termination of the tenancy. (see clause 10(3)(b) of the Act)
I give notice that I am terminating my tenancy on
If the notice is to be given based on a period of 1 or more months, the notice must be given before
the day of the month that rent is payable under the lease.
Security deposit return This section is optional. (check one)
q I will make arrangements at a future time for the return of my security deposit.
q Please return my security deposit to me at the forwarding address below:
Street number and
name (civic address)
Apartment
City or town  Province  Postal code
Phone number  Email
Sign and date this form
Tenant’s signature  Date (YYYY MM DD)
Tenant: Keep a copy of this form for your records.
Important Information
Form C: Tenant’s Notice to Quit
(subsection 10(1) or 10(3) of the Residential Tenancies Act)
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