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* 1. Please provide tenancy details

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* 2. Please provide contact details

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* 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.

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* 4. Date Tenancy is to End:

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

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

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* 7. Signature - Tenant

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* 8. Signature  - Joint Tenant

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* 9. My forwarding address is:

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* 10. Please indicate which company supplies your home:

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