To: _____________________________

_____________________________

_____________________________

Tenant in Possession:

YOU ARE HEREBY NOTIFIED that the terms of tenancy under which you occupy the above-described premises are to be changed.

Effective _______________________ (Month & Day) ______ (Year) there will be the following changes:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Dated this _______ day of ________________ (Month), ______ (Year).

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Owner/Manager

This Notice was served by the Owner/Manager in the following manner (check those which apply):

� by personal delivery to the tenant,

� by leaving a copy with someone on the premises other than the tenant,

� by mailing,

� by posting.