NOTICE TO QUIT FOR PROVIDING FALSE/MISLEADING INFORMATION ON
RENTAL APPLICATION/LEASE
To: ______________________________
(Tenant’s Name)
_____________________________
(Rental Unit Street Address)
_____________________________
(Rental Unit City/State/Zip)
You (tenant) made the following false/misleading statements on your rental application
and/or lease:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
You (tenant) do not have the option to correct the information provided and must move
out by ______________________ (date) at _______________ (time).
If you (tenant) do not move out by the date indicated above, your tenancy will be
terminated and a lawsuit may be filed to evict 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 the Notice at the rental unit in a
conspicuous place.
OR
Tenants were served by registered or certified mail.
Date: __________________________
Signature of person attempting service:
___________________________________________________________________
Printed Name:
___________________________________________________________________
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