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1. What is the tenant's name? Enter the full name
2. What's the rental property's address?
3. What's the landlord's name? Enter the full name
4. What's the landlord's address?
5. What is the original lease expiration date?
6. What is the reason to early terminate the lease?
7. What is the new termination date?
8. What is the person's name to forward the security deposit?
9. What's the forwarding address?
10. Insert number of days' notice
11. What is the tenant's contact info (phone no. or email)?
12. What's today's date?