Fill and Sign the Notice Nonpayment Rent Form

Notice to Quit (Give Possession to Landlord) for Nonpayment of Rent ______________________ Name of Tenant ______________________ Address of Tenant ______________________ Address of Premises (if different than address of Tenant) You are hereby notified to quit and deliver up the premises you now rent as a tenant at ___________________________________ ( address of premises) . You have _____________ (specify time period permitted by state statute, such as: 14 days ) from receipt of this notice to leave or I will go to court and get permission to evict you. By law, a court is the final authority in every eviction and if you believe you are entitled to remain as a tenant, you or your lawyer may present your case in court. The reason your tenancy is being terminated is that you have failed to pay the rent due as follows: ______________________ ( set forth amount and when it was due). If you have not received a notice to quit for nonpayment of rent within the last _____________ (i.e. statutory time such as twelve months), you have a right to prevent termination of your tenancy by paying to the undersigned landlord (or the person to whom you customarily pay your rent ) the full amount of rent due within ______________ ( specify time period permitted by local statute, such as: ten days) after your receipt of this notice. If your tender of rent payments does not comply with the requirements noted above or otherwise cure or excuse the breach as provided by law, any funds paid by you after the date of this notice shall be accepted for use and occupancy only and not for rent, shall not waive this notice or any subsequent eviction proceedings, nor shall it create or reinstate any tenancy. You are hereby notified to produce the original of this notice at any trial for possession of the premises. Witness my signature this ____ day of ________, 20___. _____________________________ Signature of Landlord