FIVE (5) JUDICIAL DAYS NOTICE TO PAY RENT OR IN THE ALTERNATIVE TO QUIT THE PREMISES TO: NOTICE IS HEREBY GIVEN to you as tenant and all other occupants of those premises located at the address shown above that the rent on said premises is now due and delinquent for the period shown below. Further, that you are required to pay to the undersigned landlord or agent all rent now due and delinquent OR surrender the above said premises at or before 5:30 p.m. of the 5th day following service of this notice. FAILURE ON YOUR PART to pay or quit said premises within five (5) judicial days of the service of this NOTICE may result in the landlord applying for an EVICTION ORDER directing the Constable to remove you from the premises within twenty-four (24) hours. Amount of rent DUE and DELINQUENT: _______________________________________________________ DATE rent became DELINQUENT: ____________________________________________________________ DATE tenancy commenced: __________________________________________________________________ THE TENANT MAY CONTEST THIS NOTICE BY FILING BEFORE 5:00 P.M. WITHIN FIVE (5) DAYS AN AFFIDAVIT WITH THE HENDERSON JUSTICE OF THE PEACE, 243 WATER STREET, HENDERSON, NEVADA, STATING THAT YOU ARE NOT DELINQUENT IN SAID RENT AND WHY A SUMMARY EVICTION SHOULD NOT BE ISSUED PURSUANT TO NRS 40.253. IF YOU REQUEST A HEARING THERE WILL BE A $25.00 COURT FEE. BE A $33.00 COURT FEE. DATE ADDRESS LANDLORD/AGENT PHONE NUMBER AFFIDAVIT OF SERVICE On ______________________________, 20_____, at _________________ (time) I served a copy of this Notice on the above-named tenant(s) pursuant to NRS 40.280 in the following manner: [ ] by delivering a copy to the tenant(s) personally, in the presence of a witness; [ ] by leaving a copy with _____________________________________, a person of suitable age and discretion at tenant(s)’s place of residence or place of business, and mailing a copy to the tenant(s) and obtaining a proof of mailing. [ ] by posting a copy in a conspicuous place on the door of leased property and mailing a copy to the tenant(s) at the place where the leased property is situated and obtaining a proof of mailing. PURSUANT TO NRS 53.045, I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF NEVADA THAT THE NOTICE WAS PROVIDED ON THE DATE AND IN THE MANNER LISTED ABOVE. Date: ____________________ _________________________________ Signature of Server __________________________________ Signature of Witness _________________________________ Printed Name of Server __________________________________ Printed Name of Witness H.JCt 08/04 ______________________________ Signature of Tenant American LegalNet, Inc. www.FormsWorkflow.com