Fill and Sign the Under Nebraska Law the Notice to Pay Form

Warning Notice – page 1 NOTICE OF DEFAULT IN PAYMENT OF RENT WARNING PRIOR TO DEMAND TO PAY OR TERMINATE RESIDENTIAL LEASE TO: Tenant(s): FROM: Landlord:Address of Leased Premises:This NOTICE is provided to you regarding the rental payments on the Leased Premises. According to my records, you have not made the rental payment for the month of ________________. This WARNING is to provide you with written information about your rental payments and consequences of your failure to pay timely.Pursuant to the lease to you, rental payments are due on the _____ day of each month. If the payment is not paid by the due date, the rental payment is not paid timely. If the rental is not paid timely, your Landlord has the right to provide you with a Notice to Pay or Lease Terminates which provides that if you do not pay within the stated notice period, the lease may be terminated and you must vacate the property. Under Nebraska law the notice to pay period is three (3) days.The amount currently due is:$Rent for$Late Charges$Other$Other$Total (exclusive of future accruing costsPlease pay this amount to me immediately. If you continue to fail to make rental payments timely, I will have no option but to provide a formal notice to pay or terminate.Signed, this theday of, 20.Signed:Landlord/Lessor, or authorized agent Warning Notice – page 2 PROOF OF DELIVERY A copy of this Notice was delivered to Tenant:by handby registered/certified mail at the above address, which is:the place designated by Tenant for receipt of communications;Tenant’s last known place of residence;by posting prominently on the front door of the leased premises.Notice delivered/mailed/posted by: Sign Name Print Name In his/her capacity as:Landlord/Lessor;Manager;Agent.Notice delivered/mailed/posted on: [date]