Lease Termination Notice for Nonpayment of Rent

Landlord's Name and Address:

Tenant's Name and Address:

Property Address:

Date:

Notice

This notice is to inform you that your lease agreement for the property listed above is being terminated due to nonpayment of rent.

Amount of Rent Owed:

Rental Period for Which Rent is Unpaid:

Date By Which Payment Must Be Made (if applicable):

Lease Termination Date:

Additional Comments/Information:

Landlord's Signature

Date:

Tenant's Signature

Date: