NOTICE TO VACATE FOR PERIODIC TENANTS
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).
If you do not move out of the rental unit by this date, your tenancy will be terminated
and a lawsuit may be filed to evict you.
As a month-to-month tenant, you have been given at least 45 days’ notice in
accordance with HI Rev Stat §521-71.
OR
Your tenancy is less than month-to-month, and you have been given at least 10
days’ notice in accordance with HI Rev Stat §521-71.
Upon move out, please notify me of the address to send your remaining security
deposit.
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 the Notice at the rental unit in a
conspicuous place.
Date: __________________________
Signature of person attempting service:
___________________________________________________________________
Printed Name:
___________________________________________________________________
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