Date:

Notice to Pay Rent or Vacate

Official demand for payment of rent under the lease agreement.

Tenant & Premises

Tenant Name(s):et al.

Address:

City:

State / Zip:

This form shall serve as official notice that you are hereby given days' notice to pay the rental amount and fees due below, or you must immediately vacate the premises. This deadline begins the day after this notice is served.

Amounts Due

Total Rent Due:

For the Rental Period:

Total Other Fees Due:

Description of Fees:

Total Amount Due Immediately: $

Rent must be paid to:

If you do not pay the above stated amount within the above stated time frame, a summary ejectment (eviction) lawsuit will be brought against all occupants. This will result in an eviction filing on your record and judgment against all tenants on the lease as allowed by law. The sheriff may also physically coordinate the removal of you and your belongings from the property.

Service of Notice

Posting Date:

Posting Time:

Manager's Phone:

Manager's Email:

Manager's Signature

Date