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Written Demand for Past Due Rent (with Good Cause Eviction Law Notice)

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Written Demand for Past Due Rent (with Good Cause Eviction Law Notice)
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Written Demand for Past Due Rent Page 1 of 7
with Good Cause Eviction Law Notice [RPL 231-c]
Landlord:
_________________________________________________________________
Tenants:
_________________________________________________________________

Property Description
• Property address: ___________________________________________________________
• Apartment number: _____
• Number of rooms: _____
• On what floor(s): _____
• On what side (check all that apply): left right front back middle
This property is used as a (check one): business residence
List the names of every tenant, under-tenant, assignee, and person in possession of the premises:
1. ____________________________________ 7. ___________________________________
2. ____________________________________ 8. ___________________________________
3. ____________________________________ 9. ___________________________________
4. ____________________________________ 10. ___________________________________
5. ____________________________________ 11. ___________________________________
6. ____________________________________ 12. ___________________________________
(If you need more space to list tenants, please attach an extra sheet to this form.)