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COVID-19: Notice to Landlord of Inability to Pay Rent


  Download EN-Notice-to-Landlord-of-Inability-to-Pay-Rent.pdf

DATE: —————————– , 2020




  Street Address: City, State, Zip:

Email Address:





SENT VIA (select all that apply): □ Regular Mail □ Email □ Personal Delivery

I am writing regarding my tenancy at (address) —————————————————————–.

I am writing to notify you that I am unable to pay the rent that is (or was) due on the (date)—————- of (month) ———, 2020, due to reasons, circumstances, and/or financial impacts related to COVID-19. The reasons, circumstances, and/or financial impacts include (select all that apply):

  • Iwas unable to work because I was sick with, or I was caring for a household or family member who was sick with, COVID-19.
  • Iexperienced a lay-off, loss of hours, or income reduction resulting from a workplace or business closure or other economic or employment impacts related to COVID-19.
  • Compliancewith a government order or recommendation to stay home, self-quarantine, or avoid congregating with 
  • Iincurred child care expenses due to school closures related to COVID-19.
  • Iincurred extraordinary health care expenses relating to diagnosis, testing for, and/or treatment of COVID-19 for myself or a household or family 
  • Other(describe):


Thank you for your understanding and cooperation during these unprecedented times. Sincerely,

(Tenant Name)

(Tenant Signature)

Attachment EN-Notice-to-Landlord-of-Inability-to-Pay-Rent.pdf

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