3‐DAY NOTICE TO PAY RENT
OR SURRENDER POSSESSION
(CODE OF CIVIL PROCEDURE 1161)
To:
ALL RESIDENTS FULL NAME(S) (tenants and subtenants) in possession and all others in possession
NOTICE IS HEREBY GIVEN that, pursuant to the agreement under which you hold possession of the premises located at:
Street Address:
, UNIT # (if applicable):
City, State, Zip:
There is now due and unpaid rent for said premises in the sum of $
, enumerated as follows:
$
DUE FROM
THROUGH
$
DUE FROM
THROUGH
$
DUE FROM
THROUGH
$
DUE FROM
THROUGH
$
DUE FROM
THROUGH
$
DUE FROM
THROUGH
WITHIN THREE (3) DAYS after service of this notice on you, you are required to pay the rent in full, or to vacate and
return possession of the premises and the keys to said premises, to the owner or owners authorized agent. If you fail to
do so, legal proceedings may be commenced against you to recover possession of the premises, to declare your
agreement forfeited and to recover TREBLE RENTS AND DAMAGES plus attorney fees, court cost, and for such further
relief as the court may deem proper.
YOU ARE FURTHER NOTIFIED that the lessor elects to declare a forfeiture of the rental agreement under which you hold
possession of the premises, unless the total rent due is paid WITHIN THREE DAYS following service of this notice on you.
Acceptable Form of Payment(s) is/are:
Check
By Mail
Cashier’s Check
Please Make Payment in Person
Money Order
Address:
Cash
City, State, Zip:
EFT/DEPOSIT
Between the hours:
Payable to:
Days:
Account #:
Owner or Owner’s Agent
Telephone #:
Date
Owner/Agent Signature
THIS NOTICE DOES NOT AFFECT ANY NOTICE ALREADY SERVED OR ANY NOTICE SERVED WITH THIS NOTICE
As required by law, you are hereby notified that a negative credit report may be
submitted to a credit reporting agency if you fail to fulfill the terms of your credit obligations.