Fillable WRITTEN DEMAND FOR PAYMENT OF PAST DUE RENT

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WRITTEN DEMAND FOR PAYMENT OF PAST DUE RENT

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The WRITTEN DEMAND FOR PAYMENT OF PAST DUE RENT form is 1 page long and contains:

  • 2 signatures
  • 0 check-boxes
  • 39 other fields

Country of origin: OTHERS
File type: PDF

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WRITTEN DEMAND FOR PAYMENT OF PAST DUE RENT
(1) , 20
Re: Premises:
(2) rooms floor side, Apt. No.
(3)
(4) used for 9 Business 9 Residence
TO:
Tenant(s), under-tenant(s) or assigns, and
every person in possession of the premises.
(5) (6)
(7) (8)
(9)Take notice that you owe rent for the following period(s):
$ for month of 20
$ for month of 20
$ for month of 20
$ for month of 20
$ for month of 20
If you do not pay the total rent due on or before the ex
piration of fourteen (14) days
from the date of the service of this notice, or surrender up the possession of said premises to
the landlord, the landlord will commence summary proceedings to evict you.
(11) Landlord:
Signature Print or Type Name
(12) Agent:
Signature Print or Type Name
(13) Landlord or Agent’s Address:
Late Fee(s): $_______________
(10
) The total now due is:$
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Instructions for Preparing:
Written Demand for Past Due Rent
Find the number on the form for each instruction below.
Type or
print in black
ink only.
1. Write the date you are preparing the Written Demand for Payment
of
Past
Due Rent.
2.
Write the number
of
rooms, on which floor, which side of
the building,
and
the apartment number of
the rental
property. (For example, 4 rooms,
2_
n
d
floor,
Left side,
Apt No. 33 )
3. Write the address of the rental property (for example, 321 FIRST ST.,
ANYWHERE,
NY).
4. Check[ ] the first box if the property is used for business purposes.
Check[ ] the second box if the property is used
for
residential purposes.
5. Write the name of the tenant(s) residing at the property.
6.
Write the tenant's address, including the zip code.
7. If there
are any under-tenants, write
their names.
8.
If there are any under-tenants, write their address including the zip code.
9. List the amounts of rent
due and
the months for
which
the rent is due.
10.
Write
the total
amount of rent due.
11. The
landlord signs
on this line. Print the landlord's
name
next to the
signature.
12 If the landlord has an agent, the agent
signs
on this line. Print the agent's
name next to the signature.
13. If the
landlord signed the
form,
write the landlord's address. If the agent
signed
the
form, write the agent's address.
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WRITTEN DEMAND FOR PAYMENT OF PAST DUE RENT

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Completed 2 June 2021

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