5 Day Notice Form Page 3

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5-DAY NOTICE
NON-PAYMENT of RENT TERMINATION of TENANCY DEMAND for POSSESSION
Tenant:
__________________________________________________________________
Address:
__________________________________________________________________
Apt. No.
__________________________________________________________________
Date: ____________________
Your rent from
to
is past due and
unpaid. Pursuant to A.R.S. § 33-1368(b), you are hereby notified that if you fail to pay your rent
in the amount of $
in full on or before
your
tenancy will be terminated. If the rent is paid in full then your rental agreement will remain in
effect. If the rent is not paid in full on or before
, then pursuant to
A.R.S. § 12-1173, I demand that you vacate the premises and surrender possession to me on or
before
. If you fail to comply with the above, I
will institute legal action for forcible detainer.
_____________________________________
Owner/Owner’s Agent
_____________________________________
Phone
FD11-105
Revised: 09/02/08

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