and
,

YOU ARE HEREBY NOTIFIED that there is now due the undersigned landlord the sum of   plus  in late fees, being rent for the premises located in the city of , and county of , Illinois, and described as:

• the property at , ,  IL, ,   Apt. , together with all buildings, sheds, closets, out-buildings, and other structures used in connection with those premises.

The late rental amounts are as follows:

• owed from to .
• owed from to .
• owed from to .

YOU ARE FURTHER NOTIFIED that payment of is now DEMANDED of you, in accordance with 735 Ill. Comp. Stat. § 5/9-209, and that unless the entire payment is made within FIVE (5) days after service of this notice on you, your rental agreement will terminate immediately.

ONLY FULL PAYMENT of the rent demanded in this notice will waive the landlord's right to terminate the lease under this notice, unless the landlord agrees in writing to continue the lease in exchange for receiving partial payment.

The following forms of payment will be accepted [check all that apply]:

_____ Cash	_____ Cashier's check	_____ Certified check
_____ Money order	_____ Personal check	_____ Electronic funds deposit

You may make payments in the following ways: 

• 1. in person, at , , Illinois, . The usual days and hours for rent collection are .
• 1. 2. by mail, to , , Illinois, .
• 1. 2. 2. 3. by deposit to account at , a financial institution located at , , , . 
• 1. 2. 2. 2. 3. 3. 3. 4. by electronic funds transfer procedure previously established.

The FIVE-DAY notice period expires at: : a.m.p.m. on .

THE LANDLORD RESERVES ALL RIGHTS AND REMEDIES PROVIDED UNDER THE LEASE AGREEMENT AND UNDER APPLICABLE LAWS OF ILLINOIS, INCLUDING DAMAGES FOR UNPAID RENT, AND NOTHING IN THIS NOTICE MAY BE CONSTRUED AS A WAIVER OF THOSE RIGHTS AND REMEDIES. 

________________________	_______________________________________
Date

[PAGE BREAK HERE]

PROOF OF SERVICE

________________________________________________being duly sworn, on oath deposes and says: Name of person serving notice
1. I served copies of the five-day notice to pay rent or quit.
2. I served copies of the five-day notice to pay rent or quit to the following tenant:
_________________________________________________________ (Name)
3. The five-day notice to pay rent or quit was served at:
_________________________________________________________ (Full Address)
4. I served the tenant by:

• a. [  ] PERSONAL SERVICE. I personally delivered a copy of the five-day notice to pay rent or quit to the person listed in item 2

				on _____________________________ at _______________  am    pm                     (Date)                                                   (Time)

• b. [  ] SUBSTITUTED SERVICE BY LEAVING NOTICE & MAILING

				(1) After attempting personal service, I left a copy of the five-day notice to pay rent or quit with or
				in the presence of a person above the age of thirteen years, residing on or in charge of the premises
				described in item 3:
				____________________________________________________________________________ (Insert name of person you left the notice with who is at least 13 years old, or give description  (age, sex, height, weight, etc.). if person refuses to give name)
				(2) on _____________________________ at _______________   am    pm                           (Date)                                           (Time)

• c. [  ] POSTING & MAILING.

				(1) After attempting service, I affixed/posted a copy of the five-day notice to pay rent or quit in a
				conspicuous place at the address listed in item 4, there being no one in actual possession of the
				residence
				on _____________________________ at _______________   am    pm              (Date)                                               (Time)
				(2) I thereafter mailed (by first-class, postage prepaid) a second copy of the five-day notice to pay
				rent or quit to the person listed in item 3 to the address listed in item 4
				on _____________________________ at _______________   am    pm                          (Date)                                              (Time)

• d. [  ] MAILING.

				(1) I mailed (by first-class, postage prepaid) a copy of the five -day notice to pay rent or quit to the
				person listed in item 3 to the address listed in item 4, with a returned receipt from the addressee
				on _____________________________ at _______________   am    pm                         (Date)                                                (Time)

Subscribed to and sworn before me this	)
	)
__________ day of _______________, 20_______	)
	)
__________________________________________ Signature and Seal of Notary Public	)	_______________________________________ Signature of person who served notice