Fill and Sign the Nh 540 Form

New Hampshire Section 540:3 Eviction Notice TO: (Tenant Name) (Street) (City, State, Zip Code) Pursuant to the provisions of RSA 540:2, you are hereby given an eviction notice and notice to vacate, on or before ______________ , 20 __ , the premises and appurtenances owned by __________________ of the City of ___________ , in the County of _______________ , New Hampshire, which premises are now occupied by you. The reason for this eviction notice is: / / Your failure to pay rent due and in arrears when demanded pursuant to RSA 540:2 II (a). A demand to pay rent was served upon you on __ , 20___ and you have refused and neglected to pay rent due for the period ______________ , 20____, to _____________________ , 20__ __ . You are hereby notified of your right to avoid this eviction by payment, prior to the expiration of this notice of all the arrearages plus fifteen dollars ($15 .00) as liquidated damages, in accordance with RSA 540:9, provided however that you may not defeat an eviction for non-payment of rent by paying the arrearages plus $15.00 after an Eviction Notice is given more than three (3) times in a twelve- month period. / / Substantial damage done to the premises pursuant to RSA 540:2 II (b) as follows: / / Your failure to comply with a material term of the lease pursuant to RSA 540:2 II (c) as follows: / / Behavior by you or members of your family which adversely affects the health or safety of the other tenants or the landlord pursuant to RSA 540:2 II (d), or your failure to accept suitable temporary relocation due to lead-based paint hazard abatement, as set forth in RSA 130-A:8-a, I, as follows: / / For other good cause pursuant to RSA 540:2 II (e), RSA 540:2 III, RSA 540:2 IV, or RSA 540:2 V as follows: Dated: _____ __ , 20__ (Landlord/Agent Name) (Street) (City, State, Zip Code) (Signature) I hereby certify that on the ____ day of ___ , 20 , at am/pm I gave in hand to/left at the abode of , above named, a true copy of the above original notice. (Signature)