Pennsylvania 10 Day Notice to Pay Rent or Quit

YOU ARE HEREBY NOTIFIED that under the lease agreement dated under which you hold possession of the premises located at , , Pennsylvania, , there is now due and unpaid rent in the total amount of , representing rent due as follows:  

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

YOU ARE FURTHER NOTIFIED that in accordance with 68 Pa.C.S. §250.501, within TEN (10) days after service of this notice on you, you must pay the above-listed amount in full or leave the premises described above. If you do neither of these, will institute legal proceedings against you to recover possession of the premises, to declare the lease agreement forfeited, and to recover rent.

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

You may make payments in the following ways:

• 1. in person, at , , , .  The usual days and hours for rent collection are .
• 1. 2. by mail, to , , , .
• 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 TEN-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 PENNSYLVANIA, INCLUDING DAMAGES FOR UNPAID RENT, AND NOTHING IN THIS NOTICE MAY BE CONSTRUED AS A WAIVER OF THOSE RIGHTS AND REMEDIES.

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1. I am now, and at all times mentioned in this declaration was, a citizen of the United States, a resident of the state of Pennsylvania, and over the age of 18 years. I make this declaration based on my personal knowledge. I am competent to testify to the matters in this declaration.

2. I served copies of the ten-day notice to pay rent or quit to the following tenant:

3. The ten-day notice to pay rent or quit was served at:

4. I served the tenant by:

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

• b.  [  ] POSTING & MAILING.
  • (1) After attempting service, I affixed/posted a copy of the three-day notice to pay rent or quit in a conspicuous place at the address listed in item 3

• • (2) I thereafter mailed (by first-class, postage prepaid) a second copy of the ten-day notice to pay rent or quit to the person listed in item 2 to the address listed in item 3

I declare under penalty of perjury of the laws of the state of Pennsylvania that the foregoing is true and correct.

DATED this ______________ day of _________________, 20__________, at ____________________, Pennsylvania.