Commonwealth of Pennsylvania
LEASE TERMINATION
15-Day Notice to Vacate
___________, 20___
To: __________
Rental Property:
_________________________________________
YOU ARE HEREBY NOTIFIED THAT, under the terms of the lease agreement dated ___________,
20___ (the “Lease”) for the rent and use of the premises listed above now occupied by you:
YOUR TENANCY WILL BE TERMINATED ON ___________, 20___ AND YOU HAVE: (Check one)
15
DAYS (the minimum required by law if the lease term is 1 year or less)
30 DAYS (the minimum required by law if the lease term is more than 1 year)
_____ DAYS (number of days stated in original lease agreement)
T
O VACATE THE PREMISES. You therefore must deliver possession of the premises to me by
___:______ AM/PM on ___________, 20___. You are further notified that unless you vacate the
premises by such date, legal action may be initiated against you.
T
HIS IS A: (Check one)
15
DAY NOTICE. (the minimum required by law if the lease term is 1 year or less)
30 DAY NOTICE. (the minimum required by law if the lease term is more than 1 year)
_____ DAY NOTICE. (number of days stated in original lease agreement)
THIS NOTICE IS PROVIDED TO YOU IN ACCORDANCE WITH THE LEASE AND PENNSYLVANIA
LANDLORD TENANT ACT OF 1951 68 P.S. §250.501. NOTHING IN THIS NOTICE IS INTENDED OR
SHALL BE CONSTRUED AS A WAIVER BY THE LANDLORD OF ANY RIGHTS OR REMEDIES THE
LANDLORD MAY HAVE UNDER THE LEASE OR UNDER STATE OR FEDERAL LAW.
Signature
Date
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signature
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Landlord Info:
Name: _______________________________
Address: _____________________________
Phone Number: _______________________
PROOF OF SERVICE
I, the undersigned, being at least 18 years of age, declare under penalty of perjury under the laws of the
Commonwealth of Pennsylvania, that on __________________, 20___, I served a true copy of the attached
Notice of Termination in the following method:
Personal delivery to ______________________ at the following address: _________________
_____________________________________________________________________________.
Substituted delivery left at ____________________ at the following address: _____________
_____________________________________________________________________________.
Posted delivery at the following address: ___________________________________________
_____________________________________________________________________________.
Signed by: _________________________________
Print Name: _________________________________
Date: ______________________