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Form #5A : NOTICE OF NON-RENEWAL OF LEASE

QUALIFYING LANDLORD REASON

 

Required entries are indicated by blue icons or *

et al (and all others)


(If left blank, notice was personally served prior to 11:59 p.m. on date of service)

(If left blank, notice was posted and mailed prior to 11:59 p.m. on date of service)

(If left blank, notice was mailed prior to 11:59 p.m. on date of service)
 
Owner/Agent hereby serves you 90 days' notice of the termination of your tenancy for a Qualifying Landlord Reason:
 
 
 
 
 
Your tenancy is being terminated and you must vacate the rental unit you now occupy no later than 11:59 p.m. (end of day) on
 
The facts which support this notice are:
 
RELOCATION FEE
For this notice to be valid, at the time it is delivered to the tenant, the landlord must pay the tenant the equivalent of one months’ periodic rent, unless exempt. Owners of four or fewer dwelling units are exempt from the payment of the relocation fee.
The owner of this property
 
hold an ownership interest in four or fewer dwelling units.
 

If your termination date is not at the end of your rental period, and you have not paid a last month’s rent deposit, you will owe rent for a partial month.

Your prorated rent from 
 through 
 is 

If you did pay a last month’s rent deposit that exceeds the date of termination, the landlord is required to account for those funds separately at the time of security deposit reconciliation within 31 days of surrender of possession of the dwelling unit.

 

Please Note: Signature field must be filled in and signed after printing.

Owner/Agent Signature:   Date:

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