To: ____________________________

and all other tenants in possession of the premises described as:

___________________________________________________ (Address)

PLEASE TAKE NOTICE that the rent is now due and payable on the above-described premises which you currently hold and occupy. Your rental account is delinquent in the amount itemized as follows:

Rental Period: ___________________________ Rent Due: $_________

Rental Period: ___________________________ Rent Due: $_________

Rental Period: ___________________________ Rent Due: $_________

Total Rent Due: $_________

Less Partial Payment of: $_________

Total Balance Due: $_________

You are hereby required to pay said rent in full within ______ days or remove your possession(s) from the above-described premises, or legal proceedings will be instituted against you to recover possession(s) of said premises, to declare the forfeiture of the Lease or Rental Agreement under which you occupy said premises and to recover rents and damages, together with court costs and attorney's fees, according to the terms of your Lease or Rental Agreement dated this ________________________ (Date).

_______________________________

Owner/Manager

I, the undersigned, being at least 18 years of age, declare under penalty of perjury that I served the above notice, of which this is a true copy, on the above-mentioned tenant(s) in possession in the manner(s) indicated below:

Executed on ________________________ (Date), at the City of ___________________, County of _______________, State of ___________________.

Served by: ______________________________