Landlord'S Five Day Notice Form - County Of Kane
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1LANDLORD’S FIVE DAY NOTICE
Caution: Consult with a Lawyer before using or acting under this form.
To: ______________________________________; you are hereby notified that there is
now due the undersigned landlord the sum of $ __________________ being rent for the
premises situate in the City of ____________________, County of Kane, State of
Illinois, described address commonly known as _________________________________,
together with all buildings, sheds, closets, out buildings, garages and barns used in
connection with said premises. And you are further notified that payment of said sum so
due has been and is hereby demanded of you, and that unless payment thereof is made on
or before the expiration of five days after service of this notice; your lease, written or
verbal agreement of said premises will be terminated.
________________________________________ is hereby authorized to receive said
rent so due, for the undersigned landlord.
Dated this ________ day of ________________ 20 _____
_______________________________________
Landlord or acting agent
I certify that I served this writ on the defendant as follows:
____ (a) Personal Service – by leaving a copy with each individual defendant personally.
____ (b) Substitute Service – by leaving a copy at the usual place of abode of each
individual defendant with a person of his or her family of the age of 13 years or upwards,
informing that person of the contents, and by sending a copy of the writ in a sealed
envelope, with postage fully prepaid and addressed to each individual defendant at his or
her usual place of abode.
____ (c) Posting Service – by posting a copy upon the premises.
Date of Service _______/_______/_______ Time _________________
By: ____________________________________
Subscribed and sworn to before me this ______ day of ___________________ 20______
Seal
___________________________________
Notary Public
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