Lease Termination Notice for Health and Safety Reasons

Date:
Tenant Name(s):
Rental Property Address:
Landlord/Property Manager Name:

Dear ,

This letter is to notify you that your lease agreement for the property located at is being terminated in accordance with applicable law due to health and safety concerns, described as follows:

Description of Health and Safety Issue(s):

In light of these circumstances, your tenancy will end on . Please vacate the premises and remove your possessions by this date. You are encouraged to contact us if you have any questions about this notice.

Landlord/Property Manager Contact Information:
_________________________
Landlord/Manager Signature
_________________________
Date