THREE DAY NOTICE TO PAY RENT OR VACATE
TM
DEVELOPED & PUBLISHED AS PER WASHINGTON COURT OF APPEALS NO. 62517-9-1
TO: __________________________________________________________et al DATE____________
(All Tenants on Lease/Agreement)
__________________________________________________________________ Unit No._______
(Rental Address)
__________________________________________WA _________________
(City)
(Zip)
You are hereby given 3-day’s notice (after day of service) to pay the following rent/fees
due, or immediately thereafter vacate your unit and surrender all keys therein. If notice is
posted in lieu of personal service to tenant(s), an additional notice day is provided.
Rent due on ________________ for period ending _________________ $ ________________
Rent due on ________________ for period ending _________________ $ ________________
Other rent due for period(s) ___________________________________ $ ________________
Total late fees due on rent owing above ……………….……..…………
$ ________________
(For other due, use WLA Form 10B)
TOTAL RENT/FEES DUE & PAYABLE
$___________________
Payment(s) must be made to:
______________________________________________________
(Name and/or Address)
______________________________________________________
In the form of: ( ) cash
( ) money order/cashier check
( ) personal check
( )_____________
If all rent due is paid within 4 days following notice service, $_______________ may be deducted from
the late fees due. If unable to pay final due, please call/email landlord/mgr as to your exact plans.
Failure to pay within the stated period may result in unlawful detainer action against the
tenant(s), resulting in eviction and money judgment collection with interest as provided by law
(including sheriff-directed removal of all parties and possessions from the premises).
LANDLORD/MGR_________________________________________ PHONE __________________
(Print & Sign Name)
POSTING DATE/TIME_____________________________ MAILING DATE ____________________
Per RCW 59.12.040: If separate copies are not served directly (handed) to each and all individual adult tenants on the rental
agreement or lease, said copies must be both posted on tenant door, and mailed (OK all copies in one envelope, non-
certified first class) to all tenants not handed a copy… at the address of the property (if eviction is to be pursued in court).
3/15
WLA 10A