FIVE DAY NOTICE TO:__________________________ ___________________________ ___________________________ You are hereby notified that there is now due the

owner of sum of $____________Rent Due from __________________ to _________________________, being rent for the premises situated in the _________________City of bed as follows, to wit: ___________________________________________________________________ ____________________________________ together with all buildings, storage areas, recreational facilities, parking spaces and garages used in connection with said premises. And you are further notified that payment of said sum so due has been and is hereby demanded of you, and that unless payment thereof is made on or before the expiration of five days after service of this notice, your right of possession under the lease of said premises will be terminated. ONLY FULL PAYMENT OF THE RENT DEMANDED IN THIS NOTICE WILL WAIVE THE LANDLORDS RIGHT TO TERMINATE THE LEASE UNDER THIS NOTICE, UNLESS THE LANDLORD AGREES IN WRITING TO CONTINUE THE LEASE IN EXCHANGE FOR RECEIVING PARTIAL PAYMENT.

____________________________________ is authorized to receive said rent, so due.

____________________________________ OWNER By_________________________________ AGENT OR ATTORNEY

Dated this ____ day of __________________, ______.

AFFIDAVIT OF SERVICE

STATE OF ILLINOIS

) ) SS COUNTY OF __________) __________________________________, being duly sworn, on oath deposes and says that on the ____ day of ______________, 19____ he served the above notice on the tenant named above as follows: ( ) 1. By delivering a copy thereof to the above named tenant, ___________________. ( ) 2. By delivering a copy thereof to _________________________, a person above the age of twelve years, residing on or in charge of the above described premises. ( ) 3. By sending a copy thereof to said tenant by certified or registered mail, return receipt requested, postage prepaid, at the address for tenant at the beginning of tenants lease or such other address as tenant may previously have designated by written notice. ( ) 4. (In the event of apparent abandonment only) by posting a copy thereof on the main door of the above described premises, no one being in actual possession thereof. Subscribed and sworn to before me this _____ day of ______________, ______. ___________________________________ ______________________________ Notary Public