Here is the text that is on mine. The formatting is going to be all messed up, but the two paragraphs at the end are in 2 separate columns. I think someone on here shared this a number of years ago. I may have tweaked it.
NOTICE TO RENEW LEASE OR VACATE
Date of notice: April 1, 2016
TENANT(S): John and Jane Doe
PREMISES:
123 spring St
Springfield, NY 11111
LEASE EXPIRATION DATE: May 31, 2016
RENT INCREASE: $35 increase
Instructions:
1. Please indicate if you wish to re-new your lease, or if you intend to vacate by the expiration of your current lease by checking either “Renew” or “Vacate”.
2. Be sure to sign and date this notice.
3. Return this completed notice to your landlord in the envelope provided by April 15, 2017 so that we may process your request.
Please indicate whether you wish to re-new or vacate
ˇ I Wish to Renew the Lease ˇ I will Vacate
Notice to Owner, Laura VA,
I agree to re-new our lease for a term of one year
at the rent of $1150 beginning June 1, 2017 and ending on May 31, 2018. I understand that the terms, rights and conditions in our original lease will still apply as agreed.
Notice to Owner, Laura VA,
I intend to vacate the premises on
______________, leaving the property in good condition as agreed in my lease, no later than the expiration of the term of our lease.
Tenant’s signature ___________________________________________ Date:_______________________
Tenant’s signature ___________________________________________ Date:_______________________
--67.172.xxx.xxx