LANDLORD’S FIVE DAY NOTICE To______________________________________________________________________ ________________________________________________________________________ YOU ARE HEREBY NOTIFIED, that there is now due______________________the sum of ___________________________dollars and ___________________Cents, being rent for the premises situated in ______________________________________________ and known and described as follows, viz: The_______________________________of No. ___________________________________________________St. otherwise described as AND YOU ARE FURTHER NOTIFIED, that payment of said sum so due, has been and is hereby demanded of you, and unless payment thereof is made on or before the ______________________________day of ______________________20_____, your Lease of said premises will be terminated. _____________________________(Agent) at No._________________________________________St., is hereby authorized to receive said rent, so due, for ______________________________________________(Landlord). Only full payment of the rent demanded in this Notice will waive the Landlord’s right to terminate the lease under this notice, unless the Landlord agrees in writing to continue the lease in exchange for receiving partial payment. Dated at ___________________________this _____________day of ___________A.D. 20_________. ___________________________________ Landlord By_________________________________ Agent 02/07 American LegalNet, Inc. www.FormsWorkflow.com SHERIFF’S FEES Service and return……………………………$_______________ Miles……………………………………………$_______________ Total……………………………………………$_______________ _____________________________ Sheriff of __________________County I certify that I served this summons on defendants as follows: (check appropriate box, and complete information below) (a)-(Individual defendants-personal): By leaving a copy and a copy of the complaint with each individual defendant personally. (b)-(Individual defendants-abode): By leaving a copy and a copy of the complaint at the usual place of abode of each individual defendant with a person of his family, of the age of 13 years or upwards, informing that person of the contents and also by sending a copy of the summons in a sealed envelope with postage fully prepaid, addressed to each individual defendant at his usual place of abode. (c)-(Corporation defendants): By leaving a copy and a copy of the complaint with the registered agent, officer or agent of each defendant Corporation. (d)-(Other service): Name of Deft_______________________ Name of Deft_____________________ Name of Person Name of Person Summons given to___________________ Summons given to_________________ Sex____Race_____Approx Age_____ Sex_____Race_____ Approx Age______ Place of Service_____________________ Place of Service__________________ __________________________________ _______________________________ Date of Service__________Time______ Date of Service__________Time_______ Date of Mailing____________________ Date of Mailing_____________________ Sheriff of ____________________County By_________________________, Deputy American LegalNet, Inc. www.FormsWorkflow.com