Fill - Free fillable 15-DAY NOTICE TO PAY RENT OR MOVE OUT (Apartment Owners Association of California) PDF form

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

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____

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____

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.

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: ______________________________________________________________________

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

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15-DAY NOTICE TO PAY RENT OR MOVE OUT (Apartment Owners Association of California)

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