West Virginia IMMEDIATE Notice to Quit Form
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Date: ____________________
To: ____________________ (Tenant)
Address of Premises: _______________________________________________
You are hereby notified to quit and deliver up the premises you hold as our
tenant for the following violation to a lease signed on the ______ day of
__________________________, 20_______
(Check One)
☐ - The non-payment of rent for the period of ________________ and the
following balance is due $_______________________.
☐ - A violation of the terms of the lease described as: _____________________
☐ - An illegal act known described as: __________________________________
In accordance with §55-3A-1 the landlord is allowed to file an immediate eviction.
You are to deliver up said premises within immediate receipt of this notice.


Landlord’s Signature