Pennsylvania 10-Day Notice to Quit Form _ Non-Payment
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PENNSYLVANIA 10-DAY NOTICE TO QUIT (NON-PAYMENT)
As Described in Section 250.501

Date: __________________
Dear __________________,
You are requested to leave the premises you now rent as a tenant located at:
__________________________________________________________________________
in the state of Pennsylvania. You have 10 days from receipt of this notice to vacate or pay rent
before seeking permission to evict you. This is not a judicial document. By law, a court is the
final authority in every eviction, and if you believe you are entitled to remain as a tenant, you
or your lawyer may present your case in court.

The reason I wish to end your tenancy is because you have not paid me rent in the amount of
$
Month or Time Period

, as follows:
Amount

__________________

$__________________

__________________

$__________________

__________________

$__________________

__________________

$__________________

Sincerely,

____________________________________
Landlord’s Signature

____