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) of:
Less than one year on___________________ (date).
At least one year, but less than two years, on ________________ (date).
Two years or more on ____________________ (date).
(Tenancies less than one year must be given 30 days’ notice; tenancies less than two
years must be given 60 days’ notice; tenancies more than two years must be given 90
days’ notice per NY Real Prop L §226-c.)
Upon move out, please notify me of the address to send your remaining security
deposit.
If you do not move out of the rental unit by above date, your tenancy will be terminated
and a lawsuit may be filed to evict 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 the Notice at the rental unit in a
conspicuous place AND mailed a copy to the tenant.
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
of “suitable” age and discretion at the rental unit AND mailed a copy to the tenant.
Date: __________________________
Signature of person attempting service:
___________________________________________________________________
Printed Name:
___________________________________________________________________
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