Hawaii 5-Day Notice to Quit Form _ Non-Payment of Rent
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HAWAII 5-DAY NOTICE TO PAY RENT OR QUIT THE PREMISES
TO (Tenant’s Name):

FROM (Landlord’s Name):

Address:

Address:

City, State, Zip:

City, State, Zip:

Telephone:

Telephone:

NOTICE IS HEREBY GIVEN that you are in default in payment of rent for the above-described premises. You are
required to pay to the landlord or agent all rent now due and delinquent OR surrender the premises at or
before the 5th day following service of this notice. FAILURE TO PAY OR QUIT may result in an eviction order
directing the constable to remove you from the premises.

Date tenancy commenced:
Date rent became DELINQUENT:
Amount of rent DUE and DELINQUENT:
THIS FORM HAS BEEN WRITTEN PURSUANT TO §521-68

_______________________________________________________________________________________________
DECLARATION OF SERVICE

On ______________________________, 20____, at ______________ (time) I served a copy of this Notice on
the above-named tenant(s) pursuant to §521-68 in the following manner:

☐ by deliv