LEASE TERMINATION NOTICE TO VACATE
To: ______________________________
(Tenant’s Name)
_____________________________
(Rental Unit Street Address)
_____________________________
(Rental Unit City/State/Zip)
You are hereby notified that I (landlord) elect to end your tenancy at
______________________________________________________________ (address)
on___________________ (date).
The delivery date of this notice is at least:
10 days prior to the termination date above for week-to-week tenants
30 days prior to the periodic rental date of: ________________ (date) for month-to-
month tenants
30 days prior to the end of the first or subsequent term of the tenancy on:
_________________ (term end date) for tenancies with terms longer than month-to-
month
As a result, this notice is in compliance with IA Code §562A.34.
Upon move out, please notify me of the address to send your remaining security
deposit.
OR
You already received a notice of termination but failed to move out within the
deadline. You must now move out by ________________ (date) or a lawsuit may be
filed against you.
Today’s Date: ______________________________
Signature of party completing this notice:
__________________________________________________________________
Printed Name and Title (i.e. landlord, property manager, etc.):
__________________________________________________________________
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Tenant’s Acknowledgement
On _______________ (date) at _____________ (time), tenant acknowledged receipt
of this notice.
____________________________________________________________________
Tenant Signature and Date
Certificate of Service
I certify that I personally served this notice on the following person:
_____________________________________________________________________
OR
I attempted to make personal service on the tenant(s) named above but no one
appeared. I believed tenant(s) to be absent, so I left a copy of the notice with someone
over the age of 18 at the rental unit.
______________________________________________________________________
(signature of party receiving notice and date of receipt)
OR
I attempted to make personal service on the tenant(s) named above but the tenant
did not appear. I believed tenant(s) to be absent, so I posted the notice on the primary
entrance door of the rental unit AND mailed a copy of the notice via regular AND
certified mail.
Date: __________________________
Signature of person attempting service:
___________________________________________________________________
Printed Name:
___________________________________________________________________
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