NOTICE OF INTENT TO VACATE

30-DAY NOTICE OF INTENT TO VACATE

St. Charles Parish Housing Authority requires each family to formally submit a notice to vacate in order to move to a new residence with continued Housing Assistance. If you desire to move, please complete the top portion of form and have your current Landlord complete where indicated on this form. You will need to return the form to our office at least 30 days prior to your vacate date. THIS FORM MUST BE SIGNED BY BOTH YOU AND YOUR LANDLORD.

(To be completed by the Landlord)

(To be completed by PHA Staff)