RENT DELINQUENCY AND TERMINATION NOTICE FAILURE TO PAY RENT (TEN DAY) NRS 118B.190(1)(c)/NRS 118B.200(1)(a) TO: ______________________________________ (Tenant) ______________________________________ ______________________________________ TAKE NOTICE that your rent, utility charges and/or reasonable service fees are delinquent and if you do not pay any of those amounts owed within ten (10) judicial days1 from the date of service of this Notice, your tenancy will be terminated. You have failed to pay rent, utility charges or reasonable service fees. $__________ was due on Specifically, your payment of (date)________________________ at (place)_______________________. You failed to pay the following: □ 1. Rent □ 2. Utility charges □ 3. Reasonable service fees _______________ Total amount due _______________ Total amount due _______________ Total amount due ________________ Total months owed ________________ Specify charges ________________ Specify fees Should you fail to comply with this notice within ten (10) judicial days of its receipt, a legal action for eviction will be started and you may be liable for costs and attorneys’ fees. Dated this _____ day of _______________, 20____. ________________________________ Landlord or Duly Authorized Agent ________________________________ Address ________________________________ ________________________________ Phone 1 “Judicial Days” do not include date of service, weekends or legal holidays. 1 of 2 Mobile Home Landlord Rent Delinquency and Termination Notice Failure to Pay Rent (Ten day) Form #1 ©2006 Nevada Supreme Court Revised: April 17, 2006 American LegalNet, Inc. www.FormsWorkflow.com PROOF OF SERVICE On __________________, 20____ I served the above _____________________ ______________________________________________________________________ (Name of Notice) at the following time ____: ____ AM / PM and in the following manner: ______ By delivering a copy to the tenant(s) personally, in the presence of a witness. _____ Because the tenant(s) were absent from their place of residence or from their usual place of business, __________________________, a by person leaving of a copy suitable age with and discretion, at either place and mailing a copy to the tenant(s) at their place of residence or place of business. _____ Because the place of residence or business could not be ascertained, or a person of suitable age or discretion could not be found there, by posting a copy in a conspicuous place on the property, delivering a copy to a person there residing, if the person could be found, and mailing a copy to the tenant(s) at the place where the property is situated. See attached copy of the Certificate of Mailing. I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAW OF THE STATE OF NEVADA THAT THE NOTICE WAS PROVIDED ON THE DATE AND IN THE MANNER LISTED ABOVE. _____________________ Signature of Server ___________________ Signature of Tenant _____________________ Signature of Witness _____________________ Print Server’s Name ___________________ Print Tenant’s Name _____________________ Print Witness’s Name Mobile Home Landlord Rent Delinquency and Termination Notice Failure to Pay Rent (Ten day) Form #1 2 of 2 ©2006 Nevada Supreme Court Revised: April 17, 2006 American LegalNet, Inc. www.FormsWorkflow.com