Fill and Sign the Surrender Form

AGREED TERMINATION OF LEASE AGREEMENT AND SURRENDER OF LEASED PREMISES BY TENANT TO LANDLORD 1. OPERATIVE LEASE: A Lease Agreement was executed and entered into by Lessor, ______________________________ (hereinafter referred to as “Landlord”), and Lessee(s): Name of Lessee: ______________________________ Name of Lessee: ______________________________ Name of Lessee: ______________________________ Name of Lessee: ______________________________ (hereinafter referred to collectively as “Tenant”) on the ____ day of _____________, 20____. Said Lease Agreement is incorporated herein by reference or by attachment hereto. 2. AGREED TEMINATION: In the agreed interest of both parties, and for valuable consideration the sufficiency of which is hereby acknowledged, Landlord and Tenant hereby agree to termi nate the above-referenced Lease Agreement, said agreement to terminate on the ____ day of ____________________, 20____, upon which date Tenant shall vacate and surrender the leased premises unto Landlord as discussed below. 3. SPECIAL CONDITIONS: This Agreed Termination and Surrender is contingent on the following special conditions, which must be performed by the date of termination. Failure i n performing these conditions will void this Agreed Termination and Surrender and the original Lease Agreement will govern the relationship between the parties. Special Conditions (if any) include: _________________________________________________________________________________________________________________________________________________________________________________________________________ 4. RELEASE OF PARTIES: Upon specific performance of the above conditions prior to the agreed date of termination and surrender described above, the Lease Agreement shall terminate on said date at ____________ o’clock, at which time Tenant must vacate and surrender the premises. The Lease Agreement shall thenceforth be null and void and the parties free from the obligations, terms and conditions thereof. * * * WITNESS THE SIGNATURES OF THE PARTIES TO THIS AGREEMENT: Landlord, or authorized agent: Dated: Tenant: Print name: Dated: Tenant: Print name: Dated: Tenant: Print name: Dated: Tenant: Print name: Dated: