TO:

AND ALL OTHERS IN POSSESSION:

YOU ARE HEREBY NOTIFIED that pursuant to the lease or rental agreement under which you hold the possession of the herein described premises, there is now due and unpaid rent in the total sum of: _______________________

_____________________________________________($________________)

representing rent due from ____________________, 200___ through

__________________, 200__.

YOU ARE FURTHER NOTIFIED that within Three (3) days after service of this Notice on you, you must pay the amount of said rent in full or quit said premises and deliver up possession of the same to the landlord/agent or the landlord/agent will institute legal proceedings for an unlawful detainer against you to recover possession of said premises, to declare said lease or rental agreement forfeited and to recover rent, damages, costs and attorney fees where allowed.

YOU ARE FURTHER NOTIFIED that by this Notice the landlord/agent elects to and does declare a forfeiture of said lease or rental agreement if said rent is not paid in full within the said three (3) days. The premises are located at:

_______________________________________________________________County

of_____________________________

Date:_______________

__________________________for the Landlord/Agent

________________________________________________