Create a Non-payment Notice

What is the address of the leased premise that your tenant is living?

What is the mailing address of the landlord?

What is your tenant's mailing address?
(if different than leased premises)

Payment will be accepted by? Please check the appropriate boxes:
Cash
Money Order
Certified or Cashiers Check
Personal Check
By personal service
By registered/certified mail
By first class mail
By posting on the front door of the above leased premises
Landlord/Lessor
Agent for Landlord