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Fill and Sign the Connecticut Provisions 497301102 Form

Fill and Sign the Connecticut Provisions 497301102 Form

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NOTICE OF BREACH OF SPECIFIC PROVISIONS OF WRITTEN LEASE WITH NO RIGHT TO CURE RESIDENTIAL TO: Tenant(s): FROM: Landlord: Address of Leased Premises: This NOTICE is provided to you regarding the lease of the above identified leased premises. You are advised that you are in violation of the following provision(s) of the lease: [identify lease provision] The reason you are in breach of the provision(s) above is the following: Pursuant to the lease, you are provided with this written notice of the breach and termination of the lease due to the breach. Due to the nature of the breach and in accordance with the lease provisions, there is no right to cure this default The lease is therefore terminated effective ________ ( ) days from the date of your receipt of this notice. Please vacate the premises and provide the keys to me by the termination date. Signed, this the day of , 20 . Signed: Landlord/Lessor, or authorized agent Specific Lease Provision Notice – page 1 PROOF OF DELIVERY A copy of this Notice was delivered to Tenant: by hand by registered/certified mail at the above address, which is: the place designated by Tenant for receipt of communications; Tenant’s last known place of residence; by posting prominently on the front door of the leased premises. Notice delivered/mailed/posted by: Sign Name Print Name In his/her capacity as: Landlord/Lessor; Manager; Agent. Notice delivered/mailed/posted on: [date] Specific Lease Provision Notice – page 2

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