Kriegman & Smith, Inc

Date ______

Kriegman & Smith, Inc.

101 Eisenhower Parkway

Roseland, NJ 07068

Complex Name ______

Apartment # ______

Vacating Occupant:

My name is ______. Please be advised that I will be moving out of my apartment on ______. My roommate, ______shall continue to reside in the apartment under the terms and conditions of the current lease agreement. I hereby relinquish all claims to the security deposit as of this date.

Remaining Occupant:

I, ______am aware that my roommate ______will be vacating the apartment and that I will solely be responsible the apartment from this date forward. The security deposit will remain on my account in my name only.

______Date______

Vacating Resident Signature

______Date ______

Remaining Resident Signature