(City, State, Zip Code)
Pursuant to the provisions of RSA 540:2, you are hereby given an eviction notice and notice to
vacate, on or before , 20 , the premises and appurtenances owned by
of the City of , in the County of
, New Hampshire, which premises are now occupied by you.
The reason for this eviction notice is:
/ / Your failure to pay rent due and in arrears when demanded pursuant to RSA 540:2 II (a). A
demand to pay rent was served upon you on , 20 and you have refused and
neglected to pay rent due for the period , 20 , to , 20 .
You are hereby notified of your right to avoid this eviction by payment, prior to
the expiration of this notice of all the arrearages plus fifteen dollars ($15.00) as
liquidated damages, in accordance with RSA 540:9, provided however that you
may not defeat an eviction for non-payment of rent by paying the arrearages plus
$15.00 after an Eviction Notice is given more than three (3) times in a twelve-
/ / Substantial damage done to the premises pursuant to RSA 540:2 II (b) as follows:
/ / Your failure to comply with a material term of the lease pursuant to RSA 540:2 II (c) as