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| DATE: | |
| TO: | Name Yes / No and Name , and all other occupants |
| Street address | |
| City , Louisiana ZIP code |
YOU ARE HEREBY NOTIFIED that under the lease agreement dated Date under which you hold possession of the premises located at Street address , City , Louisiana, ZIP code , there is now due and unpaid rent in the total amount of $ Amount , representing rent due as follows:1 / 2 / 3
YOU ARE FURTHER NOTIFIED that in accordance with our lease agreement dated Date and under La. Code Civ. Proc. Ann. §4701, within FIVE (5) DAYS after delivery of this notice on you, you must leave the premises described above.
The FIVE-day notice period expires at: Hour :Minute am / pm a.m. on Date . Your compliance in this time frame will prevent any further eviction action against you.
If you fail to vacate, the laws of eviction will be enforced.
| ________________________ Date |
_______________________________________ Name |
| Street address | |
| City , LA ZIP code | |
| Phone | |
| Notice was tacked to Tenant's door on: |
_______________________________ at _________________________________ (a.m.)/(p.m.)