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 $___________

TOTAL RENT DUE>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>$___________

 less partial payment of >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>$___________

 equals TOTAL BALANCE DUE of>>>>>>>>>>>>>>>>>>>>>>>>>>>>>$___________

You are hereby required to pay said rent in full within ______ days
or to remove from and deliver up possession of the above-described
premises, or legal proceedings will be instituted against you to
recover possession 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.
Please pay said rent in the manner(s) here indicated:
[ ] in person to ____________________________________________________
at address___________________________________________________________
during the following hours and days _________________________________
[ ] by mail addressed to ____________________________________________
[ ] other ___________________________________________________________
Dated _____________________ Signed by _______________________________

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:
[ ] On ____________________, ______, I handed the notice to the
[ ] On ____________________, ______, after attempting personal
service, I handed the notice to a person of suitable age and
discretion at the residence/business of the tenant(s).
[ ] On ____________________, ______, after attempting service in
both manners indicated above, I posted the notice in a conspicuous
place at the residence of the tenant(s).
[ ] On ____________________, ______, I sent by [cross out the ones
not used] (first-class) (registered) (certified) mail a true copy of the
notice addressed to the tenant(s) at his/her/their place of residence.
Executed on _______________, at the City of ________________________,
County of______________________, State of __________________________.
Served by_________________________________