FORM 57 NOTICE FROM LANDLORD TO TENANT--TERMINATION FOR FAILURE TO PAY RENT To: Tenant's Name Address City, State, Zip Code From: Date: You are hereby notified that you are indebted to me in the sum of [insert amount owed by Tenant] for the rent and use of the premises [insert address of leased premises) $ ,Duval County, Florida, now occupied by you and that I demand payment of the rent or possession of the premises within three days (excluding Saturday, Sunday and legal holidays) from the date of delivery of this notice to-wit: on day of [insert the date which is three days or before the 20 from the delivery of this notice, excluding the date of delivery, Saturday, Sunday and legal holidays]. Signature Name of Landlord/Property Manager (Circle one) Address City, State, Zip Code Phone Number Approved for use under rule 10- 1.1(b) of the Rules Regulating The Florida Bar American LegalNet, Inc. www.FormsWorkFlow.com