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1. Hi, what is your name? (As Tenant)

2. What is your rental address?

3. What is your Landlord's name?

4. What is your Landlord's address?

5. Which date do you want to vacate?

6. Please add the State where the rental unit is located.

7. How many days of notice does the State's law require? (Insert number only)

8. How much is the amount of the deposit? (Insert number only)

9. Who is the person forwarding the deposit?

10. What address to forward the deposit to?

11. What is your contact info to get in touch? (Email/Phone no.)

12. What is today's date?