Notice by Landlord to Tenant Forfeiting Tenancy
on Ground of Breach of Covenant
I HEREBY GIVE YOU NOTICE that as you have broken an express condition of the lease, dated . . . . . . . . . ., subsisting between me and you, insofar as you have (state the breach or breaches) and the aforesaid lease provides that on breach thereof the lessor may re-enter, I, therefore, hereby determine your lease forthwith AND call upon you to surrender possession of the property in your possession under the said lease.
DATED this . . . . . . . . day of . . . . . . . . , 20. . . .
To . . . . . . . . Sd. A. B.
. . . . . . . . Landlord.