Landlord'S Five Day Notice Form

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LANDLORD’S FIVE DAY NOTICE
To______________________________________________________________________
________________________________________________________________________
YOU ARE HEREBY NOTIFIED, that there is now due______________________the
sum of ___________________________dollars and ___________________Cents, being
rent for the premises situated in ______________________________________________
and known and described as follows, viz: The_______________________________of No.
___________________________________________________St. otherwise described as
AND YOU ARE FURTHER NOTIFIED, that payment of said sum so due, has been
and is hereby demanded of you, and unless payment thereof is made on or before the
______________________________day of ______________________20_____, your
Lease of said premises will be terminated. _____________________________(Agent) at
No._________________________________________St., is hereby authorized to receive
said rent, so due, for ______________________________________________(Landlord).
Only full payment of the rent demanded in this Notice will waive the Landlord’s right to
terminate the lease under this notice, unless the Landlord agrees in writing to continue the
lease in exchange for receiving partial payment.
Dated at ___________________________this _____________day of ___________A.D.
20_________.
___________________________________
Landlord
By_________________________________
Agent
02/07

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