, LexisNexis(R) Forms FORM 727-81D.254

Summary

To: [Name and address of tenant]

We are notifying you that you are in default under the lease you entered into on [date], with [name of landlord] for [address of leased premises] and that the landlord has changed the locks. After paying all delinquent rent you may obtain a new key during your normal business hours from [name] at [address].

Dated:.