Arizona Courts | Tenancy Forms – AOCEAGN1F

AOCEAGN1F – Notice for Failure to Pay Rent 5-Day Notice to Pay Rent – Arizona

The “AOCEAGN1F – Notice for Failure to Pay Rent – 5-Day Notice to Pay Rent Form” is a legal document used in Arizona to notify a tenant of their failure to pay rent on time. This form outlines the amount owed by the tenant, including current rent, prior balances, and any additional charges or late fees as specified in the rental agreement. It serves as a formal warning that the tenant has five calendar days to either pay the total amount due, vacate the rental property, or come to a settlement agreement with the landlord.

This form complies with the Arizona Residential Landlord and Tenant Act (A.R.S. § 33-1368(B)) and provides resources for tenants to understand their rights and the eviction process.

To fill out this form, follow these steps:

Step-by-Step Instructions

1. Tenant Information

1. • Tenant(s) Name / Address / Phone: Enter the full name, address, and phone number of the tenant(s).

2. Landlord or Agent Information

1. • Landlord(s) or Agent’s Name / Address / Phone: Enter the full name, address, and phone number of the landlord or their authorized agent.

3. Notice Date

1. • Notice Date: Fill in the date on which you are issuing the notice to the tenant.

4. Total Amount Owed

1. • Total owed $____________ as of this date: ___________: Calculate and enter the total amount of rent owed by the tenant as of the notice date. Specify the date.

5. Breakdown of Charges
   • Rent $ _____________: Enter the base rent amount owed.
   • Current month/week $ _____________: Specify the rent amount for the current month or week.
   • Prior balance $ _____________: If applicable, enter any prior outstanding balance.
   • Other $ _____________ why ____________________________.: List any other charges included in the total amount owed, providing a reason for each (must be listed in the rental agreement). Add additional lines if necessary.
   • Late fees $ _____________ per day for _______ days: If late fees are allowed and applicable, specify the daily late fee amount and the number of days it applies to.
   • Total $ _____________: Sum up the rent, prior balance, other charges, and late fees to get the total amount owed.

6. Actions Required

Inform the tenant that they must:

• Pay the total owed within 5 calendar days of receiving this notice.
• Move out of the rental and return the keys to the landlord within 5 calendar days of receiving this notice.
• Contact the landlord and settle this matter (preferably in writing).

7. Reinstatement of Lease

1. • State that the lease must be reinstated if the tenant offers to pay all rent due, including late fees, court costs, and attorney’s fees before the judgment is signed.

8. Notice Delivery Method

Indicate the method used to serve the notice:

• Hand delivery to (name)_________________________ who is the [ ] tenant [ ] occupant
• By certified mail (mail receipt #): _____________________________

9. Signature

• Date: _______________
• Signature: __________________________________________: The landlord or agent must sign and date the form.
• Check the appropriate box to indicate whether the person signing is the [ ] Landlord or [ ] Agent.

10. Legal References and Additional Information

1. • Include the notice that this form is given under A.R.S. § 33-1368(B) and refer the tenant to the Arizona Residential Landlord and Tenant Act for more information. Provide relevant resources such as the Arizona Department of Housing and websites like www.AZLawHelp.org or AZCourtHelp.org.

Tips

• Ensure all calculations are accurate and double-check all entries.
• Clearly communicate the consequences of non-compliance to the tenant.
• Keep a copy of the completed form for your records.
• If serving the notice by certified mail, keep the mail receipt as proof of delivery.

This guide helps ensure the form is filled out correctly, legally, and clearly, helping both parties understand their rights and obligations.