Date:
TO:
FROM:
Rent in the amount of _______ dollars ($ ) was due on the _____ day of
____________, 20__, for the period of ____________ to ___________ for
the premises which you are currently occupying.
Please bring your payment to the address shown below. Please disregard
this notice if you have already sent us your remittance.
___________________________________________
Landlord
___________________________________________
Address
___________________________________________