Five Day Notice Template Page 2
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2Your payment of rent at this time is accepted only with reservation ad will not
prevent the landlord from seeking possession of your dwelling in the General
District Court.
In accordance with Section 55-248.31, code of Virginia, it is hereby certified that
a true copy of the within notice of default was mailed to the tenant(s) names.
Therein, addressed to said tenant(s) at the address of the dwelling unit named
therein all on the __________ day of _____________, 20__.
BY:___________________________________________
Landlord’s Authorized Representative
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