Fill and Sign the Five Day Eviction Letter for Failure to Pay Rent Form

Five Day Eviction Letter for Failure to Pay Rent ____________________ (Date) ________________________ (Your Name) _________________________________ (Your Address) _________________________________ (City, State, Zip) ________________________ (Name of Tenant) _________________________________ (Tenant’s Address) _________________________________ (City, State, Zip) Dear _____________________ (Name of Tenant) You are hereby notified that there is now due to the undersigned landlord the sum of $____________, being rent due from you for the premises located at _____________________ ____________________________________________________ (address ) . You are further notified that payment of said sum has been and is hereby demanded of you, and that unless payment thereof is made on or before the expiration of five days after service of this notice, your lease of said premises will be terminated. Witness my signature this _________________ (date) . Sincerely, ___________________________ (Printed Name of Landlord) ___________________________ (Signature of Landlord) Affidavit of Service STATE OF________________________________ COUNTY OF_______________________________ ___________________________ (Name of Affiant who served the document) , being duly sworn, on oath deposes and says that on the _____ day of ______________,20_____ he/she served the within notice on the Tenant named as follows: ____ 1. By delivering a copy thereof to the within named Tenant, ___________________ (Name of Tenant) . ____ 2. By delivering a copy thereof to ____________________ (Name of person served notice) , a person above the age of _______ (number) years, residing in or in charge of the above described premises. ____ 3 By sending a copy thereof to said Tenant by __________________________ (registered or certified mail, return receipt requested) . ____ 4. By posting a copy thereof on the main door of the above described premises, no one being in actual possession thereof. _________________________________ (Printed Name Signature of Notice Server) _________________________________ (Signature of Notice Server) Subscribed and sworn to before me this ______________________ (date) . _____________________ NOTARY PUBLIC My Commission expires: ______________________