STATE OF ILLINOIS
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LANDLORD’S FIVE‐DAY NOTICE
TO: ____________________________
_______________________________
_______________________________
YOU ARE HEREBY NOTIFIED that there is now due the undersigned Landlord the sum
of $ ____________plus $ _________ in late fees, being rent for the premises situated in
the City of ______________, and County of _______________, Illinois, and described as follows:
The property at _________________________________________, Unit Number _______,
together with all buildings, sheds, closets, out‐buildings, garages, and other structures used in
connection with said premises.
YOU ARE HEREBY NOTIFIED that payment of the amount due is now DEMANDED of you, and that unless
the entire payment is made on or before the expiration of five days after the service of this notice, your
lease of the above rental premises will be terminated immediately.
ONLY FULL PAYMENT of the rent demanded in this notice will waive 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 THIS __________DAY OF _______________________, _______.
__________________________________
LANDLORD
AFFIDAVIT OF SERVICE
I, ______________________________, being duly sworn on oath, deposes and says that on the
_____ day of _________________, ______, I served the foregoing notice on the tenant(s) named herein:
_____1. By delivering a copy hereof to the tenant ______________________________.
_____2. By delivering a copy hereof to ______________________, a person above the age of 13
years, residing or in charge of the described premises.
_____3.By sending a copy hereof to said Tenant by certified/registered mail, with a request for return
receipt from the addressee.
_____4.By posting a copy hereof on the main door of the premises, because no one was in actual
possession of the premises.
Signed: ______________________________
Subscribed and sworn to before me
This _____day of ____________,
_______________________________________
Notary Public