Three-Day Notice To Pay Rent Or Quit Form

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THREE-DAY NOTICE TO PAY RENT OR QUIT
To: _________________________________________________________________ , and all others, in
possession of the premises located at:
__________________________________________________________(street address), in
the City of
_____________________________________, Zip ____________ County of _________________ , CA.
Please take notice that rent is now due in the total amount of
$_______________________________________________________________________ ($________)
for the following rental period(s):
$_____________ due from (beginning date) ____________ through (ending date)___________________
$_____________ due from (beginning date) ____________ through (ending date) ___________________
$_____________ due from (beginning date) ____________ through (ending date) ___________________
You are required to pay this amount within THREE (3) DAYS from the date of service of
this notice or to vacate and surrender possession of the premise. If you choose to surrender,
please be sure to turn in your keys to the manger/landlord. If you fail to leave or pay the
entire amount of past due rent, legal proceedings will be instituted against you to recover
possession of the premises, declare the forfeiture of the rental agreement or lease under which
you occupy the premises, and recover rents, damages and costs of law suit. Please note that
if a lawsuit is filed against you, it will negatively affect your credit.
The name, telephone number, and address of the person to whom payment is to be made is
as follows: Name:
____________________________________________________ Telephone______________
Address:
To make the above payment to the above personally, the usual days and hours available are:
Date: ___________ Owner/Agent______________________________________________
……………………………………………………………………………………………………
PROOF OF SERVICE
I, the undersigned, being at least 18 years of age, served this notice, of which this is a true copy, on
____________________________________________________,
as follows
[ ] On _____________________, I delivered the notice to the occupant personally,
[ ] On ______________________ , I delivered the notice to a person of suitable age and discretion at the
occupant's residence/business after having attempted personal service at the occupant's residence,
and business if known.
[ ] On ______________________ , I mailed a second copy to the occupant at his or her residence.
[ ] On ______________________ , I posted the notice in a conspicuous place on the property, after having
attempted personal service at the occupant's residence, and business, if known, and after having been unable to
find there a person of suitable age
and discretion, On ______________ , I mailed a second copy to the occupant at the property.
I declare under penalty of perjury under the laws of the State of CA that the foregoing is true and correct.
_______________ _____
Signature_____________________________
Date
This form is provided as a courtesy by San Joaquin Fair Housing and does not constitute legal advice.

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