#1850 @109 Enter the name of landlord/property manager: @001 Enter the name of the tenant: @100 Enter street address of tenant: @101 Enter the city, state zip code of tenant: @102 Enter description of rented premises: @103 Enter period of overdue rental: !104 Enter (in numerals) the past due and present rental due: @105 Enter state where premises are located: @106/@106 Enter the number of days allowed for payment: 3 KEY IN VALUE @107 Enter date by which premises must be vacated if not paid: #1851 Do you desire a collection notice re: past due rent? #1852 Do you desire a FTC collection agency disclaimer? #if#1852 @108 Enter the name of the creditor (property owner): #endif #1853 #end control section #1850 /* Para. 1850: Notice quit/pay rent */ NOTICE TO QUIT OR PAY RENT To: @001 @100 @101 Re: @102 Rental due for the premises described above are due for @103, in a total amount of $ @104 (!104 dollars.) Pursuant to @105 law and the lease on these premises, you must either pay all rental due no later than @106 days, together with any late fees, or vacate the premises no later than @107. #1851 /* Para. 1851: Action re past due rent */ If all rental which is past due is not paid, legal or other enforced collection action shall be taken to recover the rental. If permitted by law, legal costs will also be added to the amounts due. #1852 /* Para. 1852: FTC Notice */ This is an attempt to collect a debt. Any information gained may be used to collect this debt. The creditor is @108. If you dispute this debt in writing, verification will be provided. #1853 /* Para 1853: End */ Dated: _________________________ ______________________________________________________ For @109, Landlord Time posted/delivered: