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

Notice To Tenant Of Payment Required To Avoid Eviction Template Page 4

Certification or Oath: I hereby certify/swear that I have read this Notice to Tenant of Payment Required to Avoid

Eviction and declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge,

information, and belief.

Signature of Plaintiff/Landlord, Plaintiff’s Agent, or Attorney

Date

Court Approval (if applicable):

Signature of Judge Presiding in Landlord and Tenant Branch

Date

Date this form was mailed to Tenant by the Landlord and Tenant Branch Clerk’s Office:

Mailed to:

The landlord must file this form within seven calendar days of the entry of a default or a judgment, whichever occurs

first, in every case in which the complaint or notice to quit is based on unpaid rent, even if the landlord did not seek a

money judgment.

Notice To Tenant Of Payment Required To Avoid Eviction Template Page 4