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Housing (PH & HCV): Intent to Vacate

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The Housing Authorities of Dickson and Waverly
Monday - Friday 7:30 a.m. - 4:30 p.m.
dicksonhousing.org

Dickson Housing
Waverly Housing

Administrative Offices
615-446-9371
333 Martin Luther King Jr. Blvd
Dickson, TN 37055

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Fields marked with * must be completed or form will not submit.


I Understand I Am Responsible For The Following:

  1. My Rent Remains Due And Payable On The First Of The Month. I Will Receive A Prorated Amount If Move-Out Is A Partial Month.

  2. On My Move-Out Day, An Inspection Will Be Done With Me And DHA/WHA Maintenance. My Apartment Must Be Clean And All Trash Removed.

  3. All Of My Keys Must Be Turned In On Move-Out Day.

  4. I Am Providing My New Address To The Office So My Security Deposit Refund Can Be Mailed. This Is Provided I Don't Owe DHA/WHA Any Monies For Rent Or Damages.