Type of Violation An eviction notice (or notice to quit) informs a tenant of a violation. If the tenant does not respond to this notice, the landlord can proceed with the eviction process in their local court. What is the Violation? What is the Violation? Non-Payment of Rent ($)Non-Compliance with Terms of the Rental Agreement The Landlord Landlord's Name Landlord's Telephone Number Landlord's E-Mail Landlord's Mailing Address This is NOT the Rental Property Address (unless the Landlord and Tenant live together). Landlord's Mailing Address Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code The Tenant(s) Enter the Name(s) of the Tenant(s) Enter the name(s) of the person or persons who are residing at the Property as authorized Tenants and/or Occupants. Be sure to separate more than 3 names with a comma. For instance: "Stan Smith, Jennifer Smith, and Robert Smith." Non-Authorized Persons This can include any subtenants or guests of the Tenant(s), regardless whether this person is residing at the Property with or without the Landlord's consent. For example, a subtenant, a friend, or relative of the Tenant(s) residing in the Premises. Will the Notice Identify Any Other Person Residing on the Premises and NOT a Tenant? Will the Notice Identify Any Other Person Residing on the Premises and NOT a Tenant? YesNo Enter the Names of the Individual(s) Enter the name(s) of the person or persons who are residing at the Property in this manner. Be sure to separate more than 3 names with a comma. For instance: "Stan Smith, Jennifer Smith, and Robert Smith." Property Address Full Address of the Rental Property Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Type of Rental Agreement Landlord and Tenant Are Currently Under What Type of Rental Agreement? Landlord and Tenant Are Currently Under What Type of Rental Agreement? A rental agreement under a formal and written lease agreementA rental agreement under an oral lease agreementA rental agreement created by a written, fixed-term lease agreement that has since expired Select the third option only if the Lease Agreement's fixed term has since ended and the rental converted to a month-to-month arrangement. When Did the Lease Begin? When Did the Lease End? Please enter the date when the lease agreement expired. Non-Payment of Rent A Landlord in Arkansas may send a three-day notice to quit for non-payment to the Tenant(s), but only after the rent is past due for over five (5) days after the rent due date. The Tenant(s) Can Be Sent This Notice After Failing to Pay Rent Within Five (5) Days of the Due Date The Tenant(s) Can Be Sent This Notice After Failing to Pay Rent Within Five (5) Days of the Due Date I Understand, and at least Five (5) Days have passed Enter the Amount Owed by the Tenant(s) $ This is the amount, including ALL late fees, that is due to the Landlord upon service of this notice. Enter the Required Payment Method Enter the Required Payment Method ElectronicallyCashier's CheckCertified CheckCheckMoney OrderCashAs specified in a formal, written Lease Agreement In other words, how should the Tenant(s) pay the amount owed? Non-Compliance Describe the Violation in Non-Compliance with the Terms of the Agreement Committed by the Tenant(s) In other words, how did the Tenant violate the agreed upon terms of the rental agreement or the terms of the written lease agreement (if any)? Please be sure to explain the violation in detail AND include instructions on how the violation can be remedied. Notice Date Enter the Date of This Notice Enter the Date this Notice shall appear to the Tenant(s). Signature Page The sender may choose to electronically sign below or sign after printing the form. Landlord or Agent Signature Clear Please draw your signature. Print Name Next Save Save and finish later
