NOTICE TO LEAVE THE PREMISES
O.R.C. 1923.04

To:    _____________________________________

        ______________________________________

        ______________________________________

        ______________________________________

        (all known adult occupants) and all other occupants.

You are hereby notified that we want you within three (3) days from the date of this notice to LEAVE the premises you now occupy and which you have rented from us, situated and described as follows:

        ______________________________________ (street address)

        ________________________ (county)     _____________ (state)

The grounds for this Notice to Leave are as follows:

Served (handed to the tenant or secured on the front door of the premises) by ___________________________, Agent for ___________________________ (owner), this _____ day of ______________, 19_____.