Pennsylvania Eviction Notice (Notice to Quit) Form

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The Violation

Landlord's Name

Landlord's Mailing Address

This is NOT the Rental Property Address (unless the Landlord and Tenant live together).

Landlord's Contact Info

The Tenant(s)

Property Address

Lease Start Date

Non-Payment of Rent

$
This is the amount, including any late fees, that is due to the Landlord upon service of this notice.

Non-Compliance

In other words, how did the Tenant violate the Lease Agreement? (Explain)
This will determine if they will have 15 or 30 days to rectify the violation

Illegal Activity

Notice Date

Enter the Date this Notice shall appear to the Tenant(s).

Signature Page

The sender may choose to electronically sign below or sign after printing the form.
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