Three Days Rent Demand Notice
Date: _______________
Tenant’s Name
____________________________
Tenant’s Address
____________________________
____________________________
____________________________
Dear _________________________,
Please take notice that you have failed to pay the rent as specified in our verbal or
lease agreement, totaling $____________ due for the Month(s) as follows:
Amount due:
Month: ____________________ Rent
_$____________________
Month: ____________________ Late Fee
_$____________________
Month: ____________________ Rent
_$____________________
Month: ____________________ Late Fee
_$____________________
Month: ____________________ Rent
_$____________________
Month: ____________________ Late Fee
_$____________________
Month: ____________________ Rent
_$____________________
Month: ____________________ Late Fee
_$____________________
Total amount due: _$_______________
You are required to pay the total amount due on or before _________________,
that being three (3) days from the date of service of this notice, or surrender
possession of the premises to the landlord.
If you fail to either pay or surrender the property, I will be forced to commence a
non-payment summary proceeding against you according to the law of New York
State.
_________________________
_________________________
(Landlordʼs Signature)
(Agentʼs Signature)
THC Rev. 5/2011
The Landlord Resource Center