NOTICE TO TENANT OF TERMINATION OF TENANCY FOR
NON-PAYMENT OF UTILITIES
To: [Full name of Tenant]
Rental Unit: [Full address of the rental unit]
You are hereby notified that you have violated your rental agreement with respect to the above
noted Rental Unit by failing to pay utility bills to ______________________ [insert name of utility
company] in the amount of $_________. This delinquency has caused the utility company to
discontinue service to the Rental Unit.
You are notified that your tenancy is therefore terminated FIVE (5) DAYS from the date you
receive this notice, which means that you must vacate the Rental Unit by __________ [insert date]
at ____ o’clock AM/PM.
If you deliver to me within THREE (3) DAYS of the date you receive this notice the sum of
$________, which is the amount I was required to pay to have the service restored to the Rental
Unit, and provided that the Rental Unit was not damaged due to the discontinuation of service,
your tenancy of the Rental Unit will NOT be terminated and you will be permitted to continue
occupying the Rental Unit.
If this violation occurs again within 6 months, you may not be given an opportunity to cure the
If you have not paid the above amount or moved out of the Rental Unit by __________ [insert
date] at ____ o’clock AM/PM, a lawsuit may be commenced to evict you and recover possession
of the Rental Unit.
(Landlord/Property Manager Signature)