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Fill and Sign the Medical Department of the United States Army in the Form

Fill and Sign the Medical Department of the United States Army in the Form

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CIVIL FORM 4-921 [Adopted, effective September 2, 1997.] 12 4-92134[Sections 47-10-3 and 47-10-6 NMSA 1978]567 THREE-DAY NOTICE OF8 NONPAYMENT OF RENT9 (Mobile Home Park Act)1011 12 To: _________________________________________________13 Address: ____________________________________________14__________________, New Mexico _____________________. 15 16 You are notified that you have failed to pay rent as 17required by the agreement or separate agreement for a 18mobile home located in ________________________ County, New 19Mexico at: 2021______________________________ (name of mobile home park)22______________________________ (mobile home address)23 ______________________________ (mobile home lot or space)24 ______________________________, New Mexico ______________.25 26 The amount of rent and utilities owed is as follows: 27 28 Rent: $__________________29Late fee: $__________________30Utilities: $__________________31Other _____________ $__________________ 32(explain) 33Total due: $__________________ 34 35If the total shown above is not paid within three (3) 36days from the date of delivery set out below, the rental 37agreement is terminated. 38 39 Payment will be accepted only by: 40 [ ]cash41 [ ]money order42 [ ]cashiers or certified check43 [ ]personal check 44 45Dated this ________ day of ______________, ________. 4647 CIVIL FORM 4-921 [Adopted, effective September 2, 1997.] 1 _________________________________2(owner, manager or agent) 3 Service of notice4 5 [ ]personally delivered to resident6 [ ]posted on the mobile home on ______________ 7(date) and mailed certified mail, return receipt requested8 [ ] Delivered [ ] posted: Mailed: 9 Time: __________________10 Date: __________________11 By3: ___________________ 121314 USE NOTE15 16 1.The party giving notice should retain two (2) 17copies for possible court action. 18 19 2.Section 47-10-3 NMSA 1978 provides that service 20of a notice to quit shall be served by delivering the 21notice to the tenant personally or by posting the notice at 22the main entrance of the mobile home and sending a copy to 23the tenant by certified mail, return receipt requested. If 24this notice is personally delivered to the resident, 25mailing or posting is not required. The date of posting 26must be included on the posted notice and on the copy 27mailed to the mobile home tenant. 2829 3. Set forth the name of the person delivering, posting 30or mailing the

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U.S. Army Medical Corps
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U.S. Army Medical Command
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Army Medical branch abbreviation
US Army Medical Corps Patch
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