Official release from the Accommodation contract Consignee: VYSOKÁ ŠKOLA BÁŇSKÁ – TECHNICKÁ UNIVERZITA OSTRAVA with in seat at 17. listopadu 15, 708 33 Ostrava – Poruba Housing services and Dining services Studentská 1770, 700 32 Ostrava – Poruba Surname, Name.............................................................................................. Date of birth, Country: ............................................................................................................ Fakulty of University: ................................................................................................................. (further only „accommodated") The accommodated withdraws from the Accommodation contract, agreed accordance with §754 and the Civil Code in valid statutory text, to the date…………………………………………………. . At the same time Accommodated acknowledges the obligation to settle the hire for the entire month, in which he (she) submits the written official contract release and pay the contractual penalty for premature discontionuation of the housing contract to the amount of the price of accommodation for one month valid from the day of withdrawal from the contract. In Ostrava on ....................... Accommodated signature:………………………………… Responsible clerk of the Housing assumed on………………………………….. _______________________________________________________________________ The settlement of the accommodation and services: Balance of a debt / engagement in the amount of: Credit balance/positive in the amount of: Overpayment return to the bank account: Accommodation clerk signature: ……………………………………..