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You are hereby notified that the rent is now due and payable on the premises occupied by you, at the above listed address.

Your account is delinquent in the amount of $, which is the rent for the period , through , .

You are hereby required to pay said rent IN FULL within days of receiving this letter, or to remove yourself and possessions from the above mentioned premises.

If you choose to ignore this letter, legal proceedings will be instituted against you to recover possession of the premises, to declare the forfeiture of the lease or rental agreement under which you occupy said premises and to recover rents owed and damages, together with costs and other damages allowed by statute.

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