REAL ESTATE RENTAL FORM
Leasing Forms and Addendums

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COLLECTION & VIOLATION NOTICES - WARNING TO REPORT PERFORMANCE

72-HOUR WARNING NOTICE TO REPORT POOR PERFORMANCE TO 

NATIONAL TENANT REPORTING AGENCY

(Your Immediate action is required)

To:  _________________________________________       Date: ____________

Address:  _____________________________________      Time: ____ AM or PM

City, State, Zip: _________________________________              

ALERT!  YOUR IMMEDIATE ACTION IS REQUIRED -

POOR PERFORMANCE TO BE REPORTED:

             The poor performance of items marked below are about to be reported to a nationwide tenant reporting agency.  The function of agencies receiving this information is to track and maintain records on residents, including information of your credit history and your performance as a resident.  This information will be available to future landlords, managers, lenders, creditors who request it.  However this notice is sent to you to avoid this action from being necessary if you respond immediately. 

THE FOLLOWING POOR PERFORMANCE IS TO BE REPORTED UNLESS YOU TAKE RESPONSIVE STEPS

1)  _____ Unpaid Rent                                   9)   _____  Unauthorized Vehicle

2)  _____ Late Rent Payment                10) _____  Excessive Junk Outside

3)  _____ Returned Check                       11) _____  Rental Upkeep Violation

4)  _____ Unpaid Repair Bill                    12) _____  Damaged Property

5)  _____ Unpaid Utility Bill                     13) _____  Health or Safety Hazard/Violation

6)  _____ Excessive Noise                        14) _____  Threats to Landlord/Others

7)  _____ Unauthorized Occupant       15) _____  Other __________________

8)  _____ Unauthorized Pet(s)           

If you satisfactorily resolve the situation described above with the owner or manager within 72 hours from the date and time indicated at the top of this page, this information will not be reported to the national tenant reporting agency at this time.  To   satisfactorily resolve this matter, ______________________________________________________.

The reputation you establish here will be with you for many years to come.  Every landlord or company who reviews your record in the future will have access to the unfavorable record you are establishing with us.  It may eventually be reported to banks, home mortgage companies, insurance companies and other creditors with whom you wish to do business and who request a report.  An adverse report can make it very difficult for you in the future to:

            * Get a credit card or loan

            * Rent a home or an apartment of your choice

            * Buy a future house, new automobile or anything requiring good credit

You should also not that is you are a cosigner you are FULLY responsible for performance of the entire lease, regardless of any other cosigners lack of performance.  Remember, a favorable record is a vital key to your future and requires your immediate action.

Signature of owner/manager ____________________________________________

Date Notice Delivered __________ Delivered by hand (to whom) _______________

Or was posted (where) ________________ Or sent by certified mail _____________

NOTE TO RESIDENT(S) To respond to or dispute this report, please call __________

Once the form has been downloaded, you can edit it for your specific needs, therefore it is always recommended that you SAVE A COPY of the original download BEFORE making any changes to it. (See instructions below.)

Download and Edit Instructions - (Easy Peasy)
1. Click the blue link in the Download Box above, a window will open
2. Select "Save File" and click OK
3. Go to your Downloads folder, select the file for your form
4. Once the forms Opens, go to "File" Menu and select "Save"
5. After saving Form in original format, you can edit as needed, if needed.
6. To save edits, go to "File" Menu & select "Save As" to title the new Form.