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

To Tenant(s): _____________. [ List each tenant who will be affected by this notice ]
The purpose of this letter is to ask you to leave the premises now in your possession, situated in[city] ___________ , [county]___________ and known as [full address and suite # of rental premises] ___________ together with the lot of land on which these premises are located.

You are being asked to leave for the following reason(s): [reason(s) for notice] ___________.

Your compliance with the notice within [# of days] _____________ days after its service will prevent
further eviction action against you.

YOU ARE BEING ASKED TO LEAVE THE PREMISES. IF YOU DO NOT LEAVE THE PREMISES, AN EVICTION
ACTION MAY BE INITIATED AGAINST YOU. IF YOU ARE IN DOUBT REGARDING YOUR LEGAL RIGHTS
AND OBLIGATIONS AS A TENANT, IT IS RECOMMENDED THAT YOU SEEK LEGAL ASSISTANCE. YOU ARE
ADVISED THAT YOU HAVE THE RIGHT TO DEFEND THIS ACTION IN COURT.

Yours respectfully,
_______________________________________
Landlord’s Signature
_______________________________________
Landlord’s Printed Name
_______________________________________
Address and Phone Number

Dated this _______ day of _______.