5 Day Notice To Pay Rent Or Vacate Premises

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5 Day Notice
To Pay Rent or Vacate Premises
(for tenant with lease of one year or less or month to month tenant)
TO:
___________________________________
(name of tenant)
___________________________________
(address)
___________________________________
This notice terminates your tenancy at the above address pursuant §704.17(1), Wisconsin Statutes
and requires you to vacate the premises described above within five (5) days after this notice has
been served upon you unless you pay the unpaid amount of $___________, which was due on the
date this notice was signed.
The amount due was calculated as follows:
Dated: ______________________
_____________________________________
Landlord or Agent of Landlord
_____________________________________
(address of landlord)
_____________________________________
_____________________________________
(telephone number)
This form has been prepared to assist non-lawyers in Small Claims Court.
The Court has not approved it. The user must decide if this form is the
right form for the case and how to fill it out.

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