<Tenant.UnitName>
										Unit(s) or space no(s).
Form # BUS-23

AUTHORIZATION
AND/OR RELEASE BY TENANT

TO:  	<Site.Name>
	<Site.StreetAddress1> 
	<Site.City>, <Site.Region>  <Site.PostalCode>

[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 of OTHER PERSON who has	Date

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.

© 2021 Texas Self Storage Association, Inc.