Fillable 5-Day Notice to Quit for Non-Compliance

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5-Day Notice to Quit for Non-Compliance

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State of Louisiana
EVICTION NOTICE
5-Day Notice to Quit for Non-Compliance
___________, 20___
To: _________________________
Rental Address:
___________________________________
YOU ARE HEREBY NOTIFIED THAT, under the terms of: (Check one)
☐ Your tenancy (if no original agreement)
☐ The Lease Agreement dated ___________, 20___
☐ The Rental Agreement dated ___________, 20___
☐ The Residential Lease Agreement dated ___________, 20___
☐ Other: __________
(the “Lease”) for the rent and use of the premises listed above now occupied by you:
YOU ARE CURRENTLY IN VIOLATION OF ( ☐ of Section ________________) OF THE LEASE AS
FOLLOWS: __________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
___________________________________________________________________________________.
The violation is: (Check one)
☐ Curable. Demand is made that you remedy the violation within five (5) days from the date of
delivery of this notice or the tenancy will be terminated and you must vacate the premises. You are
further notified that unless you correct the violation or vacate the premises, legal action may be initiated
against you.
☐ Incurable. The tenancy is hereby terminated and you must vacate the premises and deliver
possession of the same to me within five (5) days from the date of this notice. You are further
notified that unless you vacate the premises, legal action may be initiated against you
THIS NOTICE IS PROVIDED TO YOU IN ACCORDANCE WITH THE LEASE AND LOUISIANA CODE
OF CIVIL PROCEDURE ARTICLE 4701. 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
Landlord’s Contact Information:
Name: ___________________
Address: __________________________
Phone Number: ____________
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signature
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PROOF OF SERVICE
I, the undersigned, being at least 18 years of age, declare under penalty of perjury under the laws of the
State of Louisiana, 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 with/at ____________________ at the following address: __________
_____________________________________________________________________________.
☐ Posted delivery at the following address: ___________________________________________
_____________________________________________________________________________.
☐ Registered mail, return receipt requested to ____________________ at the following address:
_____________________________________________________________________________.
☐ Certified mail, return receipt requested to ____________________ at the following address:
_____________________________________________________________________________.
Signed by: _________________________________
Print Name: _________________________________
Date: ______________________
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5-Day Notice to Quit for Non-Compliance

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Completed 13 July 2021

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