About You

First Name:   

Last Name:    

At what address is your unit located?
  -- Select Property Below -- 17 Broadway 25 Broadway 1012 Chapel St 1022 Chapel St 1044 Chapel St 1145 Chapel St 1195 Chapel St 228 College St 262 College St 8-10 Edgewood Ave 16-28 Edgewood Ave 360 Edwards St 318 Elm St 26 High St 28 High St 104 Lake Place 42-219 Mansfield Street 210-220 Park St 224-228 Park St/8 Edgewood 234-236 Park St 246 Park St Prospect Gardens - Prospect St Ivy Manor Apartments - Prospect St 204 Prospect St 238 Prospect St 242 Prospect St 105-115 Sachem St 415 Temple St 90-106 York Square Place Other

Apt #:              

Move Out Date

We need to know the exact date of your departure so we can schedule your move-out inspection. The results of this inspection will determine whether we make any deductions from your security deposit. You do not need to be present at this inspection, but the unit must be completely vacant.

Date all residents will be out of your apartment:    - month - January February March April May June July August September October November December - day - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - year - 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
 

NOTE: PLEASE MAKE SURE THE MOVE-OUT DATE ENTERED ABOVE REFLECTS THE DATE YOU EXPECT THE APARTMENT WILL BE COMPLETELY VACANT!

WE MUST RECEIVE KEYS AND PARKING TAGS BACK FROM ALL OCCUPANTS, OTHERWISE YOUR SECURITY DEPOSIT ACCOUNT WILL BE CHARGED.

Future Contact Info

We must have your forwarding information to return your security deposit. We will refund your security deposit net of any offsets within thirty (30) days of your vacating the apartment and providing this forwarding information.

Telephone:        ()  - 

Email address:    

Street 1:             

Street 2:             

City:                   

State:                  

ZIP:                    

Country:            

Comments / Suggestions

We hope you've enjoyed living here. If you have any suggestions about improving your living experience or comments about your move-out situation, please enter them here.

Notice and Verification

NOTE:  WE MUST RECEIVE KEYS AND PARKING TAGS BACK FROM ALL OCCUPANTS, OTHERWISE YOUR SECURITY DEPOSIT ACCOUNT WILL BE CHARGED.

I understand that my apartment must be left broom clean and no personal items or furniture may be left in the apartment. I understand that I will be charged for the REMOVAL and DISPOSAL of any personal items/furniture/trash that remain in the apartment after the vacating date noted above. Elm Campus Partners, LLC will dispose of any items or clothing left in the apartment and the charge will be deducted from your security deposit.

Please verify you have read the above....

  - I have not read the above - I have read the above and agree to the terms