When a landlord and a tenant enter into a lease agreement, they specify the last date that the tenant must pay rent for the month in the agreement.  A late rent notice form is a document sent to the tenant in the event the last day when rent is supposed to have been paid passes.  Here is a sample late rent notice.

Sample Rent Notice Form

Reference Number ______________________ Date ______________________

Tenant’s Name: ____________________________________________________________

Address of Rental Unit: ______________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Tenant Address ____________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

You are hereby notified that the rent payment for the premise unit(s) listed above which was duo on the date _____________.  This is rent for the period ___________ to _______.

According to the lease agreement, you will be required to also pay a late rent penalty of $________.  The total rent amount is therefore __________.

For any questions regarding the issue, please contact me at _________________________

Landlord’s Name ___________________________________________________________

Signature ______________________   Date ________________________

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