NOTICE TO QUIT FOR NON-PAYMENT OF RENT
To: ______________________________
(Tenant’s Name)
_____________________________
(Rental Unit Street Address)
_____________________________
(Rental Unit City/State/Zip)
You (tenant) owe past-due rent in the amount of $____________.
You were already given a notice that rent was unpaid/a request to pay past-due rent,
and may pay the amount of past-due rent indicated above by ___________________
(date) at ____________ (time).
If you do not pay all past-due rent by the above date and time, your tenancy will be
terminated, and you will be required to move out of the rental unit. In addition, a lawsuit
may be filed against you.
If you pay your past-due rent in full before the above date and time, you will not have to
move.
OR
You were not previously given a request to pay past due rent, and must move out of
the rental unit by ___________________ (date) at ____________ (time).
If you do not move out of the rental unit by the above date and time, your tenancy will
be terminated, and 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. Believing tenant(s) to be absent, I posted the Notice on the inside of the
rental unit’s main entry door.
OR
I attempted to make personal service on the tenant(s) named above but no one
appeared. Believing tenant(s) to be absent, I left a copy of the notice with someone over
the age of 16 at the rental unit.
OR
I mailed a copy of the notice to the tenant via certified, registered, or regular mail.
OR
Believing it unsafe to enter the rental unit, I posted the notice on the outside of the
main entry door in a sealed envelope.
Date: __________________________
Signature of person attempting service:
___________________________________________________________________
Printed Name:
___________________________________________________________________
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