For the premises known as
Address(Required)
held as tenants by the following adult(s):
List first and last name of all adult household members here. Use commas to separate names.
do hereby release
Vacating Tenant(Required)
as a member of the aforementioned household. The date member will vacate unit will be
MM slash DD slash YYYY
It is agreed and understood by all adult members that the remaining adult head of household shall assume all rights and responsibilities under the rental agreement with the Housing Authority of the City of Anacortes including entitlement to the security deposit refund, if any, upon move-out.

It is agreed and understood by all adult members that the vacating adult household member relinquishes all rights and responsibilities under the rental agreement with the Housing Authority of the City of Anacortes including entitlement to the security deposit refund, if any, upon remaining household member move-out.
Vacating Tenant(Required)
MM slash DD slash YYYY
Remaining Head of Household(Required)
MM slash DD slash YYYY
Remaining Adult Household Member
MM slash DD slash YYYY
Remaining Adult Household Member
MM slash DD slash YYYY
After submitting this document, you will be directed to a legally binding signature.