解除租賃合同報告 gov

解除租賃合同報告gov一、報告解除租賃合同報告/TerminationofLeaseAgreementReport二、報告編號報告編號：______________________ReportNumber:__________________三、報告日期日期：______________________Date:__________________四、合同雙方信息出租方（甲方）：名稱：______________________地址：______________________聯(lián)系電話：__________________法定代表人：________________Landlord(PartyA):Name:________________________Address:________________________Phone:________________________LegalRepresentative:_____________承租方（乙方）：姓名：________________________地址：________________________聯(lián)系電話：____________________身份證號碼：__________________Tenant(PartyB):Name:__________________________Address:_________________________Phone:__________________________IDNumber:_____________________五、租賃合同信息合同編號：ContractNumber:合同簽署日期：________年________月________日DateofAgreement:YYYY/MM/DD房屋地址：PropertyAddress:租賃期限：開始日期：__________年________月________日結(jié)束日期：__________年________月________日LeaseTerm:StartDate:YYYY/MM/DDEndDate:YYYY/MM/DD六、解除原因解除租賃合同的原因：ReasonforTermination:是否提前通知對方：是/No否/NoNoticeGiven:Yes/NoNo/Yes通知方式：書面通知/WrittenNotice其他方式：________________MethodofNotification:WrittenNoticeOther:________________七、合同解除日期合同解除生效日期：________年________月________日EffectiveDateofTermination:YYYY/MM/DD八、結(jié)算與退還租金結(jié)算：租金支付情況：_________________租金結(jié)算方式：_________________RentSettlement:PaymentStatus:_______________SettlementMethod:______________押金退還：押金金額：______________________退還方式：______________________DepositRefund:Amount:_________________________RefundMethod:__________________九、雙方責(zé)任與義務(wù)出租方（甲方）責(zé)任：歸還押金：____________________清理房屋：____________________Landlord’sResponsibilities:RefundDeposit:________________CleartheProperty:______________承租方（乙方）責(zé)任：清理房屋：____________________歸還房屋鑰匙：________________Tenant’sResponsibilities:CleartheProperty:______________ReturnKeys:___________________十、爭議解決爭議解決方式：雙方協(xié)商解決/Negotiation提交仲裁機構(gòu)/ArbitrationDisputeResolution:NegotiationArbitration十一、其他條款特別約定：SpecialAgreements:附加條款：附件1：_________________________附件2：_________________________AdditionalTerms:Attachment1:____________________Attachment2:____________________十二、簽字出租方（甲方）簽字：__________________________日期：__________________________Landlord(PartyA):Signature:________________________Date:____________________________承租方（乙方）簽字：______________________