STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DISTRICT COURT NOTICE OF TERMINATION OF TENANCY (G.L. 1956 § 34-18-37) Date of Mailing: Name: Address: City: State: Zip Code: You are hereby directed to vacate and remove your property and personal possessions from the premises located at ___________________________________________________________ and deliver control of the premises to the Landlord/Owner on the first day after the end of your current rental period, namely ___________________________. This notice is given for the purpose of terminating your tenancy. You must continue to pay rent as it becomes due until the date indicated above. If you fail to pay that rent, a non-payment eviction action may be instituted against you. If you fail to vacate the premises by the date specified, an eviction may be instituted against you without further notice. If you believe you have a defense to this termination, you will be able to raise that defense at the court hearing. ________________________________________________ Signature Landlord/Owner ________________________________________________ Print Name Landlord/Owner ________________________________________________ Address Landlord/Owner I hereby certify that I placed in regular U.S. Mail, First Class postage prepaid, a copy of this notice addressed to the tenant on the ___________ day of ______________________________, 20_____. ________________________________________________ Signature Landlord/Owner DC-63 (revised November 2014) American LegalNet, Inc. www.FormsWorkFlow.com