Three (3) Day Notice To Tenant Form printable pdf download

THREE (3) DAY NOTICE TO TENANT

TO:

__________________________________

______________________Apt. ________

_________________, New York _______

Tenant of the Premises described as _______, on the ______ floor, __________________,

___________________, New York:

PLEASE TAKE NOTICE that you are justly indebted to _______________________,

the Landlord of the above described Premises, in the sum of $________________ for rent of said

Premises as follows:

$____________ for ___________

for the Month of ______________, 20

(rent/late fee/etc.)

$____________ for __________________ for the Month of ______________, 20

You are required to pay said rent on or before the expiration of Three (3) days from the day

of the service of this Notice, or surrender up the possession of said Premises to the Landlord, in

default of which the Landlord will commence summary proceedings under the Statute to recover

possession thereof.

Dated: _________________, 20___

_____________________________, Landlord

By __________________________

(Signature)

IMMEDIATELY, IF YOU ARE CURRENTLY RECEIVING PUBLIC ASSISTANCE, BRING THIS NOTICE FOR RENT TO THE

WORKER WHO HANDLES YOUR CASE. YOUR WORKER WILL CONSIDER THIS NOTICE ON AN EMERGENCY BASIS AND

MAY BE ABLE TO PROVIDE FUNDS TO AVOID THE POSSIBLE LOSS OF YOUR APARTMENT.

IF YOU ARE NOT CURRENTLY RECEIVING PUBLIC ASSISTANCE AND REQUIRE FINANCIAL HELP, YOU SHOULD APPLY

IMMEDIATELY AT YOUR LOCAL INCOME MAINTENANCE CENTER. IF YOU SHOW THIS NOTICE TO THE RECEPTIONIST,

YOU MAY ALSO BE ENTITLED TO ASSISTANCE ON AN EMERGENCY BASIS.

THIS IS AN ATTEMPT TO COLLECT A DEBT. ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. THIS

IS A COMMUNICATION FROM A DEBT COLLECTOR.

UNLESS YOU NOTIFY THIS OFFICE WITHIN 30 DAYS AFTER RECEIVING THIS NOTICE THAT YOU DISPUTE THE

VALIDITY OF THIS DEBT THIS OFFICE WILL ASSUME THIS DEBT IS VALID. IF YOU NOTIFY THIS OFFICE IN WRITING

WITHIN 30 DAYS FROM RECEIVING THIS NOTICE THAT YOU DISPUTE THE VALIDITY OF THIS DEBT OR ANY PORTION

THEREOF, THIS OFFICE WILL: OBTAIN VERIFICATION OF THE DEBT OR OBTAIN AND MAIL YOU A COPY OF SUCH

VERIFICATION. IF YOU REQUEST THIS OFFICE IN WRITING WITHIN 30 DAYS AFTER RECEIVING THIS NOTICE, THIS

OFFICE WILL PROVIDE YOU WITH THE NAME AND ADDRESS OF THE ORIGINAL CREDITOR, IF DIFFERENT FROM THE

CURRENT CREDITOR.

James G. Dibbini & Associates, P.C. 570 Yonkers Ave., Yonkers NY (914) 965-1011

Three (3) Day Notice To Tenant Form