| Document Date/Time Document Title (8–10 words) |
Violations Noted (6–10 Bulleted) |
VRLTA Legal Service Requirements (Did You...?) Any unchecked is a fatal defect |
Certification Statement I certify that I did I certify that I did NOT |
Can you prove with substantive and direct evidence? (Witness, tangible proof, etc.) |
Signature & Date Certification |
|---|---|---|---|---|---|
|
10/31/2025 Five-Day Notice to Pay or Quit |
|
Provided by Rose Hall |
I CERTIFY THAT I DID I CERTIFY THAT I DID NOT |
Substantive evidence provided |
|
|
[Placeholder: Enter Document Date/Time] [Placeholder: Document Title (8–10 words)] |
|
Provided by Rose Hall |
I CERTIFY THAT I DID I CERTIFY THAT I DID NOT |
Substantive evidence provided |
|
Note: Any unchecked VRLTA requirement constitutes a fatal defect. Certification is valid only when each requirement can be substantiated with direct evidence and/or credible witness statement.