NOTICE TO QUIT OR VACATE FOR NON-PAYMENT
To: _____________________________________________________________________
All residents (tenants and subtenants) in possession and all other in possession
The premises herein referred to is located in the City of __________________________,
County of __________________ State of ____________________, Zip Code __________
designated by the number and street as ________________________________________
Apt.______.
In accordance with your lease agreement signed on the _____ day of
____________________, 20_____ and the laws in the State of _____________________
WITHIN ________________ (____) DAYS after service on you of this notice, you are
hereby required to pay to the undersigned or __________________________ an
authorized agent, the rent of the premises hereinafter described, of which you now hold
possession amounting to the sum of: ______________________________ Dollars
($______________________) enumerated as follows:
$________________ Due from ______________, 20____ To ______________, 20____
or quit and deliver up the possession of the premises.
YOU ARE FURTHER NOTIFIED THAT, the owner/landlord does hereby elect to declare
that forfeiture of your lease or rental agreement under which you hold possession of the
above described premises and if you fail to perform or otherwise comply, will institute legal
proceedings to recover rent and possession of said premises which would result in a
judgment against you including costs and necessary disbursements together with possible
statutory damages as allowed by law for such unlawful detention.
Landlord/Agent Signature ___________________________
CERTIFICATE OF SERVICE
I certify that on the _____ day of ____________________, 20_____ I served this notice to
__________________________ by
☐ - delivering it personally to the person in possession.
☐ - delivering it on the premises to a member of his/her family or household or an
employee of suitable age and discretion with a request that it be delivered to the person in
possession.
☐ - first-class mail addressed to the person in possession.
Signature ___________________________
