Termination of Tenancy Form

Question Title

* 1. Please provide tenancy details

Tenant(s)

Address

Date of Birth

Question Title

* 2. Please provide contact details

Mobile

Landline

Question Title

* 3. In accordance with the tenancy agreement I/we give notice of the termination of tenancy of the above address. I/we undertake to return the keys to Barrhead Housing 28 days from the date this correspondence is signed.

Please tick box to confirm agreement

Question Title

* 4. Date Tenancy is to End:

Question Title

* 5. I/we accept liability for rental payment until this date.

Please tick to confirm agreement

Question Title

* 6. I wish to request a 4 week extension of Housing Benefit for this address

Please tick box if required

Question Title

* 7. Signature - Tenant

Signature

Date

Question Title

* 8. Signature - Joint Tenant

Signature

Date

Question Title

* 9. My forwarding address is:

Address

Postcode

Question Title

* 10. Gas Meter Details:

Supplier:

Serial No:

Question Title

* 11. Type of Gas Meter

Question Title

* 12. Electricity Meter Details:

Supplier:

Serial No:

Termination of Tenancy Form

Question Title

* 1. Please provide tenancy details

Question Title

* 2. Please provide contact details

Question Title

* 3. In accordance with the tenancy agreement I/we give notice of the termination of tenancy of the above address. I/we undertake to return the keys to Barrhead Housing 28 days from the date this correspondence is signed.

Question Title

* 4. Date Tenancy is to End:

Question Title

* 5. I/we accept liability for rental payment until this date.

Question Title

* 6. I wish to request a 4 week extension of Housing Benefit for this address

Question Title

* 7. Signature - Tenant

Question Title

* 8. Signature - Joint Tenant

Question Title

* 9. My forwarding address is:

Question Title

* 10. Gas Meter Details:

Question Title

* 11. Type of Gas Meter

Question Title

* 12. Electricity Meter Details:

Question Title

* 13. Type of Electricity Meter