Fill and Sign the I Hereby Reserve All My Legal Rights and Remedies in This Matter Form

[Date] [Landlord’s Name] [Landlord’s Address] Re: Notice to Landlord: “Self -help” repossession of premises prohibited by law! Dear : [Landlord’s Name] I am your tenant at the following premises: [Address of premises] This notice is provided to you in accordance with the provisions of applicable State housing laws. The law generally provides that as Landlord you may regain possession of the leased premises in accordance with the terms of the lease by my surrendering possession, or by appropriate court action , or based on my abandonment of the property. Your attempt to retake possession on the ____ day of ______________ , 20 ____ , was a violation of the lease and the law and constitutes unlawful “self -help” repossession. I have not surrendered the property, nor have I abandoned same. I demand that you comply with the law in pursuing eviction remedies. I hereby reserve all my legal rights and remedies in this matter, including punitive damages available due to your willful, unlawful conduct. Sincerely, Tenant: ______________________________________ Date: ___________ ______ [signature] Proof of Delivery This Notice delivered to Landlord or Landlord’s authorized agent: [ ] by personal delivery [ ] certified/registered mail, return receipt requested [ ] other form of notice pursuant to Lease Agreement: Signed: ______________________________________ Date: __________________________