Intent to Vacate
Housing Authority of South Bend
Phone: 574.235.9346 • Fax: 574.544.5165
501 Alonzo Watson Dr. • South Bend, IN 46601
Monday-Thursday 8:30 am-5:30 pm (Closed Fridays)
Fields marked with * must be completed or form will not submit.
I Understand I Am Responsible For The Following:
- 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.
- On My Move-Out Day An Inspection Will Be Done With Me And HASB Maintenance. My Apartment Must Be Clean And All Trash Removed.
- All Of My Keys Must Be Turned In On Move-Out Day.
- I Am Providing My New Address To The Office So My Security Deposit Refund Can Be Mailed. This Is Provided I Don't Owe HASB Any Monies For Rent Or Damages.