Fillable Printable Rhode Island Five Day Demand Notice for Non-Payment of Rent

Rhode Island Five Day Demand Notice for Non-Payment of Rent

DC-43 (revised August 2013)

STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS

DISTRICT COURT

FIVE-DAY DEMAND NOTICE FOR NON-PAYMENT OF RENT

(G.L. 1956 § 34-18-35)

Date of Mailing _____________________

To:

___________________________________________________

Tenant

___________________________________________________

Address

___________________________________________________

City and State

You are now more than fifteen (15) days in arrears for some or all of the rent owed under

your rental agreement. State law requires that you be sent this notice of arrearage.

Unless you make payment of all rent in arrears within five (5) days of the date this notice was

mailed to you, an eviction action may be instituted in court against you. You can prevent the

eviction by paying all the rent owing within five (5) days of the mailing of this notice.

If you believe that you have legal reason for not paying this rent, you will be able to present

that defense at the eviction hearing. T he rent in arrears as of the above date is

$___________________.

________________________________________________

Signature Landlord/Owner

________________________________________________

Print Name Landlord/Owner

________________________________________________

Address Landlord/Owner

CERTIFICATION

I hereby certify that I placed in regular U.S. Mail, First Class postage prepaid, a copy of this

notice addressed to the tenant on the _____________day of _____________________________.

____________________________________

Signature of Landlord/Owner