Fill and Sign the Tenant Landlord Demand Form

      [Date]       [Landlord’s Name]                         [Landlord’s Address] Re: Notice to Landlord: unsanitary conditions – demand immediate remedy Dear       : [Landlord’s Name] I am your tenant at the following premises:                         [Address of premises] This letter is to provide you with notice of unsanitary conditions on the premises. Specifically: [mark all that apply] 1. The premises are not clean in that there are piles of trash or garbage and no removal service. 2. The premises contain rats, mice, roaches or other vermin. 3. Other:       I expressly deny that this condition is the result of any conduct on my part or conduct on the part of others attributable to me. You are hereby notified of the above condition(s) and requested to remedy these conditions immediately. In the event you fail to correct the above conditions, I shall take advantage of all remedies under the law. Due to the seriousness of this problem, your immediate attention is appreciated. 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: __________________________