Notice To Quit (Tenancy-At-Will) Form Page 2
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2CERTIFICATE OF SERVICE
I hereby certify that on the ____ day of _____________, 2011, I served in hand the
original notice to ___________________ (a person of suitable age and discretion residing in
the premises) of which the above is a true copy.
_______________________________
Deputy Sheriff (or Landlord)
**OR**
I attempted to serve ______________________in hand on the following dates and times:
DATE: ________ TIME: ________
DATE: ________ TIME: ________
DATE: ________ TIME: ________ (left notice at dwelling)
________________________________
Deputy Sheriff (or Landlord)
This sample notice is provided for informational and illustration purposes only. It is not
intended as legal advice to any particular individual, or for any particular circumstances.
Use of this sample by any individual does not create an Attorney/Client relationship
between that individual and David J. Van Baars, Esq.
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