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______________ _____, ________



In regard to the property located at , (the "Premises").
A payment was due , it was not received and is now overdue. Currently there is a balance outstanding in the amount of $. The balance is detailed as follows: .
You are hereby required to pay said rent in full within days or to remove from and deliver up possession of the Premises, or legal proceedings will be started against you to recover possession of said Premises.
The outstanding payment should be delivered to:
at ,

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