15-DAY NOTICE TO PAY RENT OR MOVE OUT
(RENT DEMAND FOR SEPTEMBER 1, 2020 THROUGH SEPTEMBER 30, 2021)
Plaintiff(s): __________________________________, Owner(s)
Defendant(s): __________________________________, Resident
__________________________________, Resident
__________________________________, Resident
To:___________________________________________________________________________, Resident(s)
AND ALL OTHERS IN POSSESSION OF THE PROPERTY LOCATED AT (property address):
_______________________________________________________________________________________
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 on _________ for the period of________________, 20____ to ______________, 20____
$________ Due on _________ for the period of________________, 20____ to ______________, 20____
$________ Due on _________ for the period of________________, 20____ to ______________, 20____
$________ Due on _________ for the period of________________, 20____ to ______________, 20____
$________ Due on _________ for the period of________________, 20____ to ______________, 20____
$________ Due on _________ for the period of________________, 20____ to ______________, 20____
$________ Due on _________ for the period of________________, 20____ to ______________, 20____
$________ Due on _________ for the period of________________, 20____ to ______________, 20____
$________ Due on _________ for the period of________________, 20____ to ______________, 20____
$________ Due on _________ for the period of________________, 20____ to ______________, 20____
$________ Due on _________ for the period of________________, 20____ to ______________, 20____
$________ Due on _________ for the period of________________, 20____ to ______________, 20____
$________ Due on _________ for the period of________________, 20____ to ______________, 20____
PLEASE TAKE NOTICE that if you fail to perform or otherwise comply within fifteen (15) business days
(excludes Saturday, Sunday, and court holidays), as required by this notice, that the undersigned does hereby
elect to declare 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 OF DAMAGES of $600.00 due as provided by California law.
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: ____________________________________.
Dated this __________ day of _______________________________, 20____.
Owner(s): _________________________________ By: ___________________________________ Agent
AOA Form No. 15B – (Revised 07/30/2021) - 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
NOTICE FROM THE STATE OF CALIFORNIA
YOU MUST TAKE ACTION TO AVOID EVICTION . If you are unable to pay the amount demanded in this
notice because of the COVID-19 pandemic, you should take action right away.
IMMEDIATELY: Sign and return the declaration form included with your notice to your landlord within 15
days, excluding Saturdays, Sundays, and other judicial holidays. Sign and return the declaration even if you
have done this before. You should keep a copy or a picture of the signed form for your records.
BEFORE SEPTEMBER 30, 2021: Pay your landlord at least 25 percent of any rent you missed between
September 1, 2020, and September 30, 2021. If you need help paying that amount, apply for rental assistance.
You will still owe the rest of the rent to your landlord, but as long as you pay 25 percent by September 30, 2021,
your landlord will not be able to evict you for failing to pay the rest of the rent. You should keep careful track of
what you have paid and any amount you still owe to protect your rights and avoid future disputes.
AS SOON AS POSSIBLE: Apply for rental assistance! As part of California’s COVID-19 relief plan, money
has been set aside to help renters who have fallen behind on rent or utility payments. If you are behind on rent
or utility payments, YOU SHOULD COMPLETE A RENTAL ASSISTANCE APPLICATION
IMMEDIATELY! It is free and simple to apply. Citizenship or immigration status does not matter. You can find
out how to start your application by calling 1-833-430-2122 or visiting http://housingiskey.com right away.
Owner/Agent: __________________________________ Date: ____________________________
AOA Form No. 15B – (Revised 07/30/2021) - 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 reverse side of 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: _____________________________________________________
AOA Form No. 15B – (Revised 07/30/2021) - 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