__________________________________________________________landlord and
(landlords name)
__________________________________________________________Tenant, hereby agree to
(tenants name)
terminate the tenancy with respect to the premesis:
(Apt #)..................(street #)...............................(street name)......................................
(Municipality).................................................(Postal Code)..........................................
on the ___________day of______________
I _______________________________, tenant understand that I must deliver up vacant posession and occupation of the premesis on or before that date and that this agreement may be enforced by a writ of possession(eviction order) if I fail to do so.
Dated this .....................................day of ........................................,19.........
.....................................(date of signing this agreement)
.................................................................
(Signature of Landlord or Authorized Agent)
.................................................................
(Signature of Tenant or Authorized Agent)