To _________________________, Lessee:

Take notice, that pursuant to the provisions of
paragraph ___ of that certain Lease under which you hold
possession of the hereinafter described premises, I have
elected to terminate said lease as of ___________, 20___;
said lease is being terminated (set forth reason for
termination) and you are hereby required to quit
and deliver up possession of the premises on or before the
above mentioned date.

The lease above mentioned is between ________________,
as Lessor, and _____________ ______ as Lessee, is dated
_____________ and covers the property commonly known as
.

DATED: ___________
______________________
(LESSOR)

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