Notice of Intent to Vacate | Anacortes Housing Authority | Affordable Public Housing Washington | Apply for low income housing waiting lists in Anacortes, Washington

"*" indicates required fields

The below notice is to be completed and submitted to the Anacortes housing Authority office, in accordance with the provisions of your lease agreement.

Today's Date:

I / We*

First Name Last Name

Name

First Name Last Name

Email Address*

Phone Number*

hereby serve notice of intent to vacate*

Street Address City State

I/We will be vacating by midnight on:*

Forwarding Address:

Street Address Address Line 2 City State ZIP Code

Reason for moving is:

Signature*

Signature