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Leave Room
For Logo
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Form # BUS-23


Unit(s) or space no(s).: [[UNIT]]

AUTHORIZATION AND/OR RELEASE BY TENANT

TO: [[FACILITY_NAME]]
[[FACILITY_ADDRESS]]
[[FACILITY_CITY]], [[FACILITY_STATE]] [[FACILITY_ZIP]]


[check one or more as appropriate]
_____ 1. Tenant's authorization for third party to act as agent. Tenant authorizes the following person to enter the space, remove all contents, abandon property, and give releases on behalf of Tenant: ___________________________________ (name of person)
_____ 2. Tenant's permission for Lessor to cut Tenant's lock. Tenant requests and authorizes Lessor to cut Tenant's lock on the space and will pay the lock cutting charge as set forth in the Rental Agreement. Tenant agrees that Lessor is not responsible for any damage to contents of unit or other damage that may result from removing the lock.
_____ 3. Tenant's acknowledgment that all contents are removed. Tenant or the person acting for Tenant and named in paragraph 1 above has removed all contents which were stored in Tenant's space in the self-storage facility in the same condition as which they were stored.
_____ 4. Tenant's acknowledgment of receipt of contents seized under Lessor's lien. Tenant or the person acting for Tenant and named in paragraph 1 above has received all of the contents of Tenant's space which were seized by Lessor under Lessor's lien for nonpayment of sums due. Such contents are in the same condition as at the time of seizure.
_____ 5. Tenant's abandonment of contents. Tenant or the person acting for Tenant and named in paragraph 1 above has abandoned all property in Tenant's unit(s) or space(s). Lessor may enter and throw away, give away, or sell such remaining property and keep the proceeds.

Tenant acknowledges that Lessor may re-rent such storage space, commencing the day after the effective date indicated below. Tenant acknowledges that execution of this release by Tenant does not constitute a release by Lessor of Tenant's liability for past due rents and other charges due under the Rental Agreement. Tenant releases the owner and management company, if any, of self-storage facility and their employees or agents from all claims and demands of every nature and kind for any loss, damage, injury, expense, or liability.

_______________
Effective date of this form

X _________________________________________________________
Signature of TENANT / Date
________________________________________________________
Printed name of Tenant / Tenant's drivers license or ID # (and state)
X _________________________________________________________
Signature / Date of OTHER PERSON who has authority to act for Tenant pursuant to authorization in paragraph 1 above
_________________________________________________________
Printed name of above person's drivers license or ID # (and state)

For Office Use Only:
Date received by Lessor: ________________
Lessor’s representative who received release: _____________________

Because of copyright laws, this form may be used only by owner members or management company members of the Texas Self Storage Association, Inc. and may not be used by nonmembers.
© 2020 Texas Self Storage Association, Inc.