VERIFICATION OF MOVE OUT

818 South Flores Street | San Antonio, Texas 78204 | 210-477-6262 | www.saha.org
VERIFICATION OF MOVE OUT
(To be filled out by Landlord, Agent, or Authorized Party)
THIS INFORMATION IS REQUIRED TO CLOSE THE ACCOUNT
Date:
Head of Household:
Address:
City, ST, Zip:
Did Tenant give 30-day notice to Landlord?
Yes
Date of Move Out:
No
Lease Expires:
Comments:
Landlord Signature:
Address:
City, ST, Zip:
Phone:
Please return to: Elizabeth Riojas, fax number: (210) 477-6206
Any individual with a disability or other medical need who requires an accommodation should contact the San Antonio Housing
Authority at (210) 477-6262. Si usted no comprende este documento porque está escrito en inglés, por favor llame al
(210) 477-6262 para asistencia.
Page 1 of 1
Rev. 3/25/2013
AHP-9210