Under a lease dated __________, 20 __, you are the tenant and occupant of premises located at ___________________.
In the above-mentioned lease, you agreed to make monthly rental payments in the amount of _________ dollars ($__). You are now behind in your rental payments in the amount of ____ dollars ($___)and have failed and refused to pay your rent since ____, 20 _, in accordance with the terms of the above-mentioned lease.
Accordingly, within three (3) days after you receive this notice, you are required to pay the above sum or surrender possession of the premises in a broom-clean condition to the Landlord. Should you not comply, the Landlord will commence eviction proceedings under the applicable statute to recover possession of the premises.