LESSEE MOVE-OUT CLEARANCE

Leased-out by:

Direct to Unit Owner

DDPMC
Accredited Broker

To be requested by the Lessee three (3) days prior actual date of Move-out

Project Bldg./Unit No.

Scheduled Move-out Date Contract Term

I. ITEMS, FURNITURE AND APPLIANCES TO BE PULLED-OUT (To be filled-out by the

Lessee)

Unit Item Description Remarks (if any)

Please use a separate sheet, as necessary

Requested by Authorized by
(LESSEE) (LESSOR / AUTHORIZED REPRESENTATIVE)

______________________________________ ________________________________________
Printed Name and Signature / Date Printed Name and Signature / Date

II. To be filled-out by Property Management

Electrical Reading: ___________ Php ___________ ___ Current ___ Past due

If Past due
Water Reading: ___________ Php ___________ Period Covered: ___________________
Past due amount: ___________________

Assisted by Approved by Security Personnel Monitoring:

(LEASING SPECIALIST) (BUILDING MANAGER)
Actual Time-out: ___________

Actual Move-out Date: ___________

___________________________ ___________________________ ___________________________

_ Printed Name and Signature / Date Printed Name and Signature / Date
Printed Name and Signature / Date