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 located at ______________________________________________ _____________________________________, Florida [insert address of premises, including county], 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 towit: on or before the ___ day of ____________, 20___ [insert the date which is three days 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 [street address where Tenant can deliver rent] ______________________________________ City, State, Zip Code ______________________________________ Phone Number Hand Delivered On:__________________________________ Posted On:_________________________________________ Approved for use under rule 102.1(a) of the Rules Regulating The Florida Bar The Florida Bar 2010 This form was completed with the assistance of: Name: Address: Telephone Number: American LegalNet, Inc. www.FormsWorkFlow.com