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

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

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AOA Form No. 15B (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 SEPTEMBER 1, 2020 THROUGH JANUARY 31, 2021)
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, you may sign and deliver the declaration form included with your notice to your landlord
within 15 days, excluding Saturdays, Sundays, and other judicial holidays, and your landlord will not be able to
evict you for this missed payment so long as you make the minimum payment (see below). You will still owe
this money to your landlord. You should keep a copy or picture of the signed form for your records.
If you provide the declaration form to your landlord as described above AND, on or before January 31, 2021,
you pay an amount that equals at least 25 percent of each rental payment that came due or will come due during
the period between September 1, 2020, and January 31, 2021, that you were unable to pay as a result of
decreased income or increased expenses due to COVID-19, your landlord cannot evict you. Your landlord may
require you to submit a new declaration form for each rental payment that you do not pay that comes due
between September 1, 2020, and January 31, 2021.
For example, if you provided a declaration form to your landlord regarding your decreased income or increased
expenses due to COVID-19 that prevented you from making your rental payment in September and October of
2020, your landlord could not evict you if, on or before January 31, 2021, you made a payment equal to 25
percent of September’s and October’s rental payment (i.e., half a month’s rent). If you were unable to pay any
of the rental payments that came due between September 1, 2020, and January 31, 2021, and you provided your
landlord with the declarations in response to each 15-day notice your landlord sent to you during that time
period, your landlord could not evict you if, on or before January 31, 2021, you paid your landlord an amount
equal to 25 percent of all the rental payments due from September through January (i.e., one and a quarter
month’s rent).
You will still owe the full amount of the rent to your landlord, 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.
AOA Form No. 15B (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
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____
$__________ Due from _______________________, 20____, to ________________________, 20____
This notice does not demand payments that came due prior to September 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 quit the subject
premises, move out, and deliver up possession to the owner and/or his authorized agent.
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. 15B (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. 15B (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
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15-DAY NOTICE TO PAY RENT OR MOVE OUT (Apartment Owners Association of California)

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Completed 22 January 2021

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