NOTICE TO QUIT FOR NON-PAYMENT OF RENT
To: ______________________________
(Tenant’s Name)
________________ _____________________________
(Rental Unit Street Address)
______________________________
(Rental Unit City/State/Zip)
You are notified to vacate the following property not more than ten (10) days after you
receive this notice unless you pay the rent due on the property within ten (10) days:
______________________________________________________________________
(property description/address)
______________________________________________________________________
(name of landlord)
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 with someone residing at
the rental unit.
OR
I attempted to make personal service on the tenant(s) named above but no one
appeared. I believed tenant(s) and all occupants to be absent, so I posted a copy of the
notice in a conspicuous place at the rental unit.
Date: __________________________
Signature of person attempting service:
___________________________________________________________________
Printed Name:
___________________________________________________________________
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