Eviction Notice (Notice to Quit) Form

The Violation

What is the Lease Violation?

What is the Lease Violation? Non-Payment of Rent ($)Non-Compliance with the LeaseIllegal ActivityMaterial Hazard

Landlord's Name

Enter the Landlord's Name

Landlord's Mailing Address

This is NOT the Rental Property Address (unless the Landlord and Tenant live together).

Enter the Landlord's Mailing Address

Street Address

Address Line 2

City

State

ZIP Code

Landlord's Contact Info

Enter the Landlord's Telephone Number (Optional)

Enter the Landlord's E-Mail (Optional)

The Tenant(s)

Enter the Name(s) of the Tenant(s)

Property Address

Enter the Rental Property Address

Street Address

Address Line 2

City

State

ZIP Code

Lease Start Date

When did the Lease begin?

Non-Payment of Rent

Enter the Amount Due by the Tenant(s)

This is the amount, including any late fees, that is due to the Landlord upon service of this notice.

Enter the Required Payment Method

Enter the Required Payment Method CashCertified CheckCheckMoney Order

Non-Compliance

Write the Non-Compliance committed by the Tenant(s)

In other words, how did the Tenant violate the Lease Agreement? (Explain)

Illegal Activity

Write the Illegal Act committed by the Tenant(s)

Material Hazard

Write the Material Hazard Committed by the Tenant(s)

A material hazard has occurred when there has been: (1) extensive and continuing physical injury to property; (2) serious and continuing health hazard; OR (3) injury or threatened injury to another person. Explain above.

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

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