3-Day Notice Of Termination And Notice To Quit Form - Clear And Present Danger 562a.27a

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3-DAY NOTICE OF TERMINATION AND NOTICE TO QUIT
CLEAR AND PRESENT DANGER 562A.27A
TO: ______________________________________________________________________________________
You and each of you are hereby notified that, pursuant to Iowa Code 562A.27A which provides for this single
notice combined form, your Rental Agreement is terminated effective three (3) days from the date of this
Notice, and it is demanded that you vacate and surrender within that three (3) days the possession of the
premises described as follows:
__________________________________________________________________________________________
__________________________________________________________________________________________
This Combined Notice of Termination and Notice to Quit is being given to you for the reason that you or
persons on the premises with your consent have created circumstances, or maintained a threat, constituting a
clear and present danger to the health or safety of other tenants, the landlord, the landlord’s employees or
agents, or other persons on or within one thousand feet of the landlord’s property, and includes any of the
following activities. (Check all that apply and state the incident or incidents giving rise to this Notice of
Termination and Notice to Quit.)
( ) Physical assault or the threat of physical assault. ________________________________________________
__________________________________________________________________________________________
( ) Illegal use of a firearm or other weapon, the threat to use a firearm or other weapon illegally, or possession
of an illegal firearm. _________________________________________________________________________
__________________________________________________________________________________________
( ) Possession of a controlled substance not obtained directly from or pursuant to a valid prescription or order
by a licensed medical practitioner while acting in the course of a practitioner’s professional practice, by you or a
person on the premises with your consent and knowledge. ___________________________________________
__________________________________________________________________________________________
( ) Other (specify)
__________________________________________________________________________
__________________________________________________________________________________________
You will, therefore, take action and govern yourself accordingly.
THIS WRITTEN NOTICE WILL REMAIN IN FORCE UNLESS EXPRESSLY WITHDRAWN IN
WRITING. YOU MAY NOT RELY ON ANY VERBAL COMMUNICATION CONCERNING IT.
Dated this ___________ day of ______________________, 20 ________.
___________________________________ (Landlord)
By ________________________________ Address: _______________________________________________

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