SURRENDER OF TENANCY DATE:....................

1. Particulars

The Landlord: [landlord name]

Of: [landlord home address]

The Tenant: [tenant name]

The Property: [rented property]

The Tenancy: Periodic Tenancy Agreement

An assured tenancy of the property created by a Tenancy Agreement dated
23rd September 2008, which changed into a Periodic Tenancy Agreement on
the 23rd March 2009 automatically at the end of the fixed six months term
agreement made between The Landlord and The Tenant.

2. Surrender and Acceptance

The tenant surrenders and releases to the Landlord all his interest in the property with vacant
possession and the Landlord accepts this surrender.

3. Release

3.1 The landlord confirms that all rent due under the tenancy to date has been paid and that no
further payments, whether in respect of rent or otherwise, are due.

3.2 The Tenant confirms that he has received his deposit from The Landlord and that no
further payments are due to him.

4. Effect

The provisions of this agreement (other than those contained in this clause) shall not have any
effect until this agreement has been dated. This agreement has been entered into by the parties
on the day and year entered at the top and bottom of this document.

Signed by the Landlord: .....

Signed by the Tenant: .

Date: .