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1. Name of Landlord
2. Address of Landlord
3. State, zipcode address of Landlord
4. Contact info of Landlord
5. Current date
Previous year
Next year
Today
6. Name of Renter
7. Address (rental unit) of Renter
8. State, zipcode address of Renter
9. Renter's phone number
10. Add month of past due rent
11. Add monthly rent amount
12. Add total past due rent amount
Review your document