NOTICE TO PAY RENT OR QUIT

TO ___________________________, TENANT IN POSSESSION:

You are hereby required to pay the rent on the premises
herein described, of which you now hold possession, pursuant
to a written lease, amounting to $ , being the rent
now due to me by you for the period from , to ,
or you are hereby required to deliver up possession of the
premises, within THREE DAYS after service on you of this
notice, to the undersigned or the undersigned will institute
legal proceedings against you, to declare a forfeiture of
the lease under which you occupy said premises and to
recover possession thereof, with treble rents and damages.

The undersigned does (not) elect to terminate the lease
if the rent is not paid within three day.

The premises referred to are commonly known as:

(address, apartment number)
(city, state, zip code)

(Legal description may be inserted)

DATED: _______________
_____________________
(LESSOR)