Notice To Tenant Of Payment Required To Avoid Eviction Template (Page 3 of 4) in pdf

L&T Form 6

SUPERIOR COURT OF THE DISTRICT OF COLUMBIA CIVIL DIVISION

LANDLORD AND TENANT BRANCH

Bldg. B, 510 4

Street, NW, RM. 110 Washington, DC 20001 Telephone (202) 879‐4879

L&T

__________________________________________ v. __________________________________________

Plaintiff/Landlord

Defendant/Tenant

NOTICE TO TENANT OF PAYMENT REQUIRED TO AVOID EVICTION

A (check one)

default or

judgment for possession for nonpayment of rent was entered against you on (date)

___________. This means that the Landlord has the right to evict you. However, at any time before the U. S. Marshals

Service has completed your eviction, you may avoid eviction by paying the amount listed in paragraph (e). Payment

must be made in full, directly to the Landlord. The Landlord is required to accept your payment as long as the eviction

has not been completed. If you wait until the U.S. Marshals Service has arrived at the property to conduct the eviction,

you can pay the Landlord only by cash, cashier’s check, or money order. You are required to pay only the amounts

included on this form to avoid eviction, although these amounts will increase as specified below. SEE NOTE AT THE

BOTTOM OF THIS PAGE. The Landlord may not require you to pay any other amounts to avoid eviction; however, the

Landlord may seek additional fees through a separate court action. If you disagree with the amounts shown below and

you wish to challenge them, you should come to court immediately, with any papers or other evidence, and file an

Application to Reduce Payment Required to Avoid Eviction.

a. RENT: the amount of rent owed (not including late fees, court costs, or any other costs)

+ $

Rent/mo

# of mos. owed add’l partial payment owed, if any

Total Rent Owed

b. COURT COSTS:

Total Court Costs

c. LATE FEES: The Tenant cannot be required to pay a late fee unless a judge approves this form by signing it on the

second page.

+ $

late fee/mo # of mos. owed add’l partial payment owed, if any

Total Late Fee Owed

d. OTHER COSTS: The Tenant cannot be required to pay other costs unless a judge approves this form by signing it on

the second page.

other costs owed for (specify)

Total Other Costs

e. As of (date)__________________, the amount you must pay to avoid eviction is:

$ _____________

TOTAL

Note that the total amount you must pay to avoid eviction will increase over time. Specifically:

1. Each month, on the dates indicated in your lease agreement, an additional month’s rent, and late fees of $_____,

will be added to the total that must be paid to avoid eviction. Currently, your monthly rent is $_____. If the amount

of your monthly rent increases or decreases, you must pay the new amount.

2. If the Landlord files a writ of restitution after this form has been issued, then the amount you must pay to the

Landlord to avoid eviction will increase by $18. You will be responsible for paying the additional amount directly to

the Landlord. (This additional payment is not required if the property is owned by the D.C. Housing Authority.)

3. If the U.S. Marshals Service arrives on the premises to evict you, then the amount you must pay the Landlord to

avoid eviction will increase by $195 (over and above the $18 described in #2). (This additional payment is not

required if the property is owned by the D.C. Housing Authority.)

Notice To Tenant Of Payment Required To Avoid Eviction Template Page 3

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