NOTICE TO COMPLY OR QUIT FOR MATERIAL HEALTH / SAFETY VIOLATION
To: ______________________________
(Tenant’s Name)
_____________________________
(Rental Unit Street Address)
_____________________________
(Rental Unit City/State/Zip)
You (tenant) have caused/allowed the following health/safety violations:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
If you do not correct the violation(s) by ________________________ (date), your
tenancy will be terminated.
If you correct the violation(s) noted above by the deadline, you will not have to move.
OR
You already received a 7-Day Notice to Comply, but failed to correct the violation(s)
identified in the Notice to Comply by the date specified in that notice. You must now
move out of the rental unit by _______________ (date) or a lawsuit may be filed against
you.
Today’s Date: ______________________________
Signature of party completing this notice:
__________________________________________________________________
Printed Name and Title (i.e. landlord, property manager, etc.):
___________________________________________________________________
Tenant’s Acknowledgement
On ________________ (date) at __________ (time), tenant acknowledged receipt of
this notice.
____________________________________________________________________
Tenant Signature and Date
Certificate of Service
I certify that I personally served this notice on the following person:
_____________________________________________________________________
OR
I attempted to make personal service on the tenant(s) named above but no one
appeared. I believed tenant(s) to be absent, so I left a copy of the notice with someone
over the age of 18 at the rental unit.
______________________________________________________________________
(signature of party receiving notice and date of receipt)
OR
I attempted to make personal service on the tenant(s) named above but the tenant
did not appear. I believed tenant(s) to be absent, so I posted the notice on the primary
entrance door of the rental unit AND mailed a copy of the notice via regular AND
certified mail.
Date: __________________________
Signature of person attempting service:
___________________________________________________________________
Printed Name:
___________________________________________________________________
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