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Custom template · Your wording and notice period

Custom Pay or Quit Notice

Enter the parties, rent by period, credits and payment instructions. Choose the notice period and wording that apply, then review and prepare your notice. Electronic signing is available for the listed supported situations; otherwise, print and sign.

Check the requirements before using this notice. This general template is not verified for every state or locality. Changing the number of days alone does not make it legally sufficient for an eviction. Check available state forms and official resources.

Fill in details

1. People & property

Other contact details

2. Rent & credits

Your existing rent total is preserved until you choose to itemize it.

Unpaid rent

Include only fees you have verified may be demanded in this notice. A blank field adds no fee.

Total amount demanded

3. Notice & payment

Enter only a provision you have checked for this notice.

Tap any shaded area to edit. Use Done & Next to move through the notice.

Date:

To:

Rental property:

RENT STATEMENT

Rental periodRent chargedPaid / creditedUnpaid rent

Unpaid rent:

Total amount demanded:

The notice period is .

Payment instructions

Landlord / authorized agent

Landlord signature

Review and keep your copy

Confirm your wording, notice period, amounts and any required attachments before using the document.

This is a user-prepared notice. Its legal requirements have not been verified for your rental. Signing or sharing does not complete legal delivery.

Your entries stay on this browser. Nothing is sent automatically.

Prepare a notice for the law that applies to your rental

This general form records the information and wording you supply. It does not select a state's notice, calculate a statutory deadline or verify that an eviction can be filed. Use an available state form when its stated city, county and rental situation fit. Otherwise, compare your complete notice with current statutes, local rules and official court instructions before delivery.

1. Identify the required notice and its legal basis

Determine the state, city or county, rental type and reason for the notice. Ordinary nonpayment, another lease violation and termination without a default can require different language and procedures. Check the signed lease and addenda, applicable housing programs, federal financing, tribal jurisdiction, payment agreements and court orders. A general title or a selected number of days cannot resolve these differences.

Enter a statute section, local code or lease provision in “Applicable law” only after checking that it governs this notice. Include any required tenant rights, cure language, translations, resource statements or attachments. Leave the reference blank rather than inventing a citation. The wording can be edited to match the verified requirement.

2. Identify the parties and the property accurately

Use the tenants' names and the full rental address, including the unit. A tenant's mailing address may differ from the rental address. Identify the landlord or authorized agent and provide the address needed for correspondence or payment. Phone and email are optional contact details; including them does not authorize delivery of a legal notice by text or email.

3. Reconcile the rent, credits and any separately permitted fee

List each unpaid rental period once. For each period, enter rent charged and payments or credits applied to that charge. The form subtracts the credit and totals the remaining rent. It does not decide whether a charge is lawful or whether accepting a payment affects an existing termination right. Compare the statement with the lease, receipts and ledger; do not add the same opening balance twice.

Late fees start blank and are separate from rent. Before including a fee, verify the lease authorization, statutory limits, any grace period and whether that type of fee may be demanded in this particular notice. If a fee is included, identify its legal or lease basis and calculation. Do not add damages, utilities, penalties, interest or court costs merely because an account shows them as outstanding. A disputed balance or a payment arrangement may require a different notice or further review.

4. Choose the notice period and explain the required action

Enter the verified number and type of days: calendar, business or judicial. Check the event that starts the period, how weekends and holidays are treated, and whether mailing, the lease or another protection changes the period. The form does not calculate an end date or a date to file in court. The preparation date and signature date do not establish actual receipt.

Review the demand itself. State the required action, the applicable period and the legally available consequence of noncompliance. If the governing law requires a specific deadline, cure statement or additional warning, include that verified language in the notice wording. “Five days” and “seven days” are examples of input, not recommendations for your property.

5. Give usable payment instructions and sign appropriately

Identify who accepts payment, where or how it can be made, and any necessary contact information. Verify that the instructions are consistent with the rental agreement and law. Review the names, amounts, period, wording and attachments before signing. Electronic signing is offered only for the listed, reviewed situations and requires the displayed agreement; other or uncertain situations use print-and-sign. A checkbox does not override an original-signature requirement.

The signature applies to the notice you review. Changing an amount, contact detail, rent period or wording requires a fresh confirmation and a new PDF. Previously downloaded files do not update when the form changes. Keep the exact version actually delivered.

6. Deliver the notice by an authorized method and keep evidence

Check who may deliver this type of notice, which methods are authorized, who must receive it, and what evidence or certificate is required. Postal tracking, a screenshot or a shared PDF alone does not establish that every legal requirement was met. Record only events that actually occurred. If official forms, affidavits or notarization are required, use the applicable documents and procedure.

After delivery, preserve the notice, required attachments, delivery evidence and later payments or agreements. Expiration of a period does not itself authorize a lockout or removal. Review the next lawful step and current court requirements separately. For saved drafts and download controls, open notice form help.

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Sign your notice

Use an electronic signature only where accepted for this notice. Otherwise, print and sign by hand. Signing does not deliver the notice.

This checks signing only. The wording, notice period and required attachments still need to meet applicable requirements.

By choosing “Use this signature,” I intend to sign this notice.