LANDLORD NOTICE OF INTENT TO ENTER PREMISES
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Effective Date: ________________________________________________________
Place: _________________________________________________________________

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1. Parties
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This document is made on ____________________ (____________________) by:

Landlord
Individual
Full Legal Name: _______________________________________________________
SSN / ID: ______________________________________________________________
Doc Series: ____________________________________________________________
Address: _______________________________________________________________
         _______________________________________________________________

Addressed to:

Tenant
Individual
Full Legal Name: _______________________________________________________
SSN / ID: ______________________________________________________________
Doc Series: ____________________________________________________________
Address: _______________________________________________________________
         _______________________________________________________________

2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS
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Property Address: ______________________________________________________
Date & Time of Entry: __________________________________________________
Purpose of Entry: ______________________________________________________
Person(s) Entering: ____________________________________________________

3. EXECUTION & SIGNATURES
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Landlord

Signature: _____________________________________________________________

Full Legal Name: _______________________________________________________
Date: __________________________________________________________________