AOA Form No. 15A (Rev. 09/2020) - Copyright 2020 - Apartment Owners Association of California, Inc. – www.aoausa.com
San Fernando Valley (818)988-9200 ▪ Los Angeles (323)937-8811 ▪ Long Beach (562)597-2422 ▪ Garden Grove (714)539-6000 ▪ San Diego (619)280-7007 ▪ Northern California (510)769-7521
15-DAY NOTICE TO PAY RENT OR MOVE OUT
(RENT DEMAND FOR MARCH 1, 2020 THROUGH AUGUST 31, 2020)
Plaintiff(s): __________________________________, Owner(s)
VS.
Defendant(s): __________________________________, Resident
__________________________________, Resident
__________________________________, Resident
To:___________________________________________________________________________, Resident(s)
AND ALL OTHERS IN POSSESSION OF THE PROPERTY LOCATED AT (property address):
_______________________________________________________________________________________
NOTICE FROM THE STATE OF CALIFORNIA
If you are unable to pay the amount demanded in this notice, and have decreased income or increased expenses
due to COVID-19, your landlord will not be able to evict you for this missed payment if you sign and deliver
the declaration form included with your notice to your landlord within 15 days, excluding Saturdays, Sundays,
and other judicial holidays, but you will still owe this money to your landlord. If you do not sign and deliver the
declaration within this time period, you may lose the eviction protections available to you. You must return this
form to be protected. You should keep a copy or picture of the signed form for your records.
You will still owe this money to your landlord and can be sued for the money, but you cannot be evicted from
your home if you comply with these requirements. You should keep careful track of what you have paid and
any amount you still owe to protect your rights and avoid future disputes. Failure to respond to this notice may
result in an unlawful detainer action (eviction) being filed against you.
For information about legal resources that may be available to you, visit lawhelpca.org.
PLEASE TAKE NOTICE that you are justly indebted to the owner of the herein described premises; and
notice is hereby given that pursuant to the lease and/or rental agreement under which you hold possession,
there is now due, unpaid and delinquent rent in the total sum of:
_______________________________________________________________________________________
($__________). The total amount owing represents rent due for the following period(s):
$__________ Due from _______________________, 20____, to ________________________, 20____
$__________ Due from _______________________, 20____, to ________________________, 20____
$__________ Due from _______________________, 20____, to ________________________, 20____
$__________ Due from _______________________, 20____, to ________________________, 20____
AOA Form No. 15A (Rev. 09/2020) - Copyright 2020 - Apartment Owners Association of California, Inc. – www.aoausa.com
San Fernando Valley (818)988-9200 ▪ Los Angeles (323)937-8811 ▪ Long Beach (562)597-2422 ▪ Garden Grove (714)539-6000 ▪ San Diego (619)280-7007 ▪ Northern California (510)769-7521
$__________ Due from _______________________, 20____, to ________________________, 20____
$__________ Due from _______________________, 20____, to ________________________, 20____
This notice does not demand payments that came due prior to March 1, 2020. However, any amounts you
may owe prior to March 1, 2020 are not waived and Landlord reserves the right to pursue those amounts in a
separate action.
WITHIN FIFTEEN (15) DAYS after service on you of this notice (excludes Saturday, Sunday and court
holidays), you are hereby required to pay the amount of the above stated rent in full OR complete the
attached Declaration of COVID-19-Related Financial Distress form, sign it under penalty of perjury and
deliver the declaration to the Landlord, as provided below.
IF YOU FAIL TO TAKE EITHER ACTION ABOVE - PAY RENT IN FULL OR RETURN THE
DECLARATION - YOU MUST MOVE OUT AND DELIVER THE POSSESSION OF THE ABOVE
LISTED PROPERTY WITHIN FIFTEEN (15) DAYS, NOT INCLUDING SATURDAYS, SUNDAYS,
OR COURT HOLIDAYS, AFTER THE SERVICE ON YOU OF THIS NOTICE.
Your payment should be payable to:________________________________________________ and payment shall be
delivered to: Name:______________________________________________________ at the following address:
______________________________________________________________, Unit #:________________,
___________________________________________ California, Zip Code:_____________________________
Telephone Number (_________)________________________ who is usually available on the following days:
_____________________________________ and the following hours:____________________________________.
PLEASE TAKE FURTHER NOTICE, IF YOU FAIL TO PERFORM OR OTHERWISE COMPLY
WITHIN FIFTEEN (15) DAYS as required by this notice, that the undersigned does hereby elect to declare
a forfeiture of the subject lease and/or rental agreement and will institute legal proceedings for the unlawful
detainer against you to recover possession of the premises plus court costs, attorney fees and PENALTY
DAMAGES OF $600.00 due as provided by California law.
Dated this __________ day of _______________________________, 20____.
Owner(s):____________________________________ By:___________________________________ Agent
Pursuant to Section 1785.26 of the California Civil Code, as required by law, you are hereby notified that a negative credit report
reflecting on your credit record may be submitted to a credit reporting agency if you fail to fulfill the terms of your credit
obligation.
Penal Code Section 594 provides that any person who maliciously damages or destroys the property or another is subject to fine
and imprisonment.
AOA Form No. 15A (Rev. 09/2020) - Copyright 2020 - Apartment Owners Association of California, Inc. – www.aoausa.com
San Fernando Valley (818)988-9200 ▪ Los Angeles (323)937-8811 ▪ Long Beach (562)597-2422 ▪ Garden Grove (714)539-6000 ▪ San Diego (619)280-7007 ▪ Northern California (510)769-7521
DECLARATION OF COVID-19-RELATED
FINANCIAL DISTRESS
State law provides eviction protections, but in order to be protected you must (1) Return the declaration of
COVID-19-related financial distress hardship declaration within 15 days after receiving any eviction notice,
and (2) Pay 25 percent of all rent owed for September 1, 2020 through January 31, 2021 by January 31, 2021.
“Declaration of COVID-19-related financial distress” means the following written statement:
I am currently unable to pay my rent or other financial obligations under the lease in full because of one or more
of the following:
1. Loss of income caused by the COVID-19 pandemic.
2. Increased out-of -pocket expenses directly related to performing essential work during the
COVID-19 pandemic.
3. Increased expenses directly related to health impacts of the COVID-19 pandemic.
4. Childcare responsibilities or responsibilities to care for an elderly, disabled, or sick family
member directly related to the COVID-19 pandemic that limit my ability to earn income.
5. Increased costs for childcare or attending to an elderly, disabled, or sick family member
directly related to the COVID-19 pandemic.
6. Other circumstances related to the COVID-19 pandemic that have reduced my income or
increased my expenses.
Any public assistance, including unemployment insurance, pandemic unemployment assistance, state disability
insurance (SDI), or paid family leave, that I have received since the start of the COVID-19 pandemic does not
fully make up for my loss of income and/or increased expenses.
Dated: __________________
Signed under penalty of perjury: ______________________________________________________________
Print Name: _______________________________________________________________________________
Address/Unit Number: ______________________________________________________________________
AOA Form No. 15A (Rev. 09/2020) - Copyright 2020 - Apartment Owners Association of California, Inc. – www.aoausa.com
San Fernando Valley (818)988-9200 ▪ Los Angeles (323)937-8811 ▪ Long Beach (562)597-2422 ▪ Garden Grove (714)539-6000 ▪ San Diego (619)280-7007 ▪ Northern California (510)769-7521
Proof of Service
I, the undersigned, being at least 18 years of age, declare under penalty of perjury that I served the NOTICE, of which a true copy
appears on the pages before this Proof Of Service, by one of the methods indicated below on the following named
Resident(s):__________________________________________________________________________________________
1. BY PERSONALLY DELIVERING a copy of the Notice to the Resident(s) named above at the following address:
_____________________________________________________________________________________________
2. BY LEAVING a copy of the Notice for the Resident(s) named above with a person of suitable age and discretion at the
residence or usual place of business of the Resident(s), said Resident(s) being absent therefrom. Said residence or usual
place of business being at the following address:
____________________________________________________________________________________________
AND MAILING an individual copy to each Resident by depositing said copies in the United States Mail, in a sealed
envelope with first class postage prepaid and addressed to the Resident(s) named above at their usual place of
residence which is at the following address:__________________________________________________________
_____________________________________________________________________________________________.
3. BY POSTING a copy of said Notice for each of the Resident(s) named above in a conspicuous place, there being no
person of suitable age or discretion to be found at any known place of residence or known usual place of business of the
Resident(s). Said notice was posted at their usual place of residence which is at the following address:
_____________________________________________________________________________________________
AND MAILING an individual copy to each Resident by depositing said copies in the United States Mail, in a sealed
envelope with first class postage prepaid and addressed to the Resident(s) named above at their usual place of
residence which is at the following address:__________________________________________________________
_____________________________________________________________________________________________.
Subject notice was served on ______________________________________________, 20____.
I declare under penalty of perjury that the foregoing is true and correct.
Executed this __________ day of ________________________, 20____ in the City of ______________________________
County of ________________________, State of California.
Signature of Server:____________________________________________
Print Name of Server:___________________________________________
Fill out “Proof of Service” On Owner’s Copies Only