Notice to Tenant of Payment Required to Avoid Eviction Residential

The document titled “Notice to Tenant of Payment Required to Avoid Eviction Residential” is a formal notification issued by the Superior Court of the District of Columbia, Civil Division-Landlord and Tenant Branch. This form is used by landlords to inform tenants about the required payment to avoid eviction due to nonpayment of rent. This form must be filed by the landlord within seven calendar days of the entry of a default or judgment in cases based on unpaid rent, even if no money judgment was sought.

How to Fill Out the “Notice to Tenant of Payment Required to Avoid Eviction – Residential” Form

Step-by-Step Instructions

1. Court and Contact Information
   • Court Address: Bldg. B, 510 4th Street, NW, RM. 110, Washington, DC 20001
   • Telephone: (202) 879-4879
2. Case Identification
   • Case Number: Write the Landlord and Tenant Branch case number (e.g., LTB______).
3. Parties Involved
   • Plaintiff/Landlord: Enter the full name of the landlord or property management company.
   • Defendant/Tenant: Enter the full name of the tenant.
4. Notice Details
   • Default or Judgment for Possession: Check the appropriate box to indicate whether a default or a judgment for possession was entered against the tenant.
   • Date: Enter the date the default or judgment for possession was entered.
5. Payment Breakdown
   • Rent Owed
     • Monthly Rent: Enter the amount of monthly rent ($______).
     • Number of Months Owed: Enter the number of months for which rent is owed.
     • Additional Partial Payment: If any partial payment has been made, enter the amount ($______).
     • Total Rent Owed: Calculate and enter the total rent owed (Monthly Rent x Number of Months Owed + Additional Partial Payment).
   • Court Costs: Enter the total court costs associated with the eviction ($______).
   • Other Costs: If there are other costs approved by a judge, specify the costs and enter the total amount ($______).
6. Total Amount to Avoid Eviction
   • As of Date: Enter the current date.
   • Total Amount: Calculate and enter the total amount the tenant must pay to avoid eviction (sum of Total Rent Owed, Court Costs, and Other Costs).
7. Additional Information
   • Note that the total amount will increase over time due to additional monthly rent, writ of restitution costs ($18), and U.S. Marshals Service eviction costs ($195).
8. Certification
   • Signature: The landlord or their agent/attorney must sign the form.
   • Date: Enter the date the form is signed.
9. Court Approval (if applicable)
   • Judge’s Signature: If other costs are included, the form must be signed by a judge presiding in the Landlord and Tenant Branch.
   • Date: Enter the date the judge signs the form.
10. Mailing Information
    • Date Mailed: Enter the date the form was mailed to the tenant by the Landlord and Tenant Branch Clerk’s Office.
    • Mailed to: Enter the addresses to which the form was mailed.

By following these instructions, you can accurately complete this form.