Virginia 5-Day Notice to Quit Form _ Non-Payment of RentVirginia 5-Day Notice to Quit Form _ Non-Payment of Rent
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Notice of Default – Failure to Pay Rent



In accordance with Section 55.1-1415 and 55.1-1245, Code of Virginia, you are
hereby notified that you are in default in the payment of rent, late charges and
miscellaneous charges as itemized below.
Itemized Charges
Rent for the month(s) of:_____________________________________________
At $_________________ per month: $_________________________________
Late Charges for the month(s) of:______________________________________
Total due landlord as of _____________________ $_____________________
If you fail to pay the full amount of rent due to your landlord within five (5) days
of the date this notice was mailed, you may be subject to immediate institution
of eviction proceedings. In accordance with Section 55.1-1245, code of Virginia,
you may then be liab