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Date:__________
Tenant’s Name:__________
Tenant’s  Address: __________

Dear__________

Notice is hereby given that we have not received your rent payment of $ __________that was due on
[date] __________, required by the tenant under a rental/lease agreement dated __________.

Under the terms of our agreement, an overdue rent payment results in your owing late charges of
$__________. If your payment of the overdue rent plus the late charges are not received by
[date]__________, we will proceed with a full eviction.

We are exercising our option to demand payment by money order or cashier’s check. Personal checks will
not be accepted.

Your prompt attention to these matters will be greatly appreciated.

Sincerely,

_____________________________________
Landlord’s Name
_____________________________________
Address and Phone Number