MISSISSIPPI IMMEDIATE NOTICE TO QUIT | HEALTH AND SAFETY VIOLATION

Date: [MM/DD/YYYY]

To: [TENANT NAME(S)]

Rental (Premises) Street Address: [STREET ADDRESS] City: [CITY] State: Mississippi

You have committed a substantial violation of your rental agreement and/or the law that materially affects health and safety. The health and safety violation is described as follows:

[DESCRIBE ACTIVITIES HERE].

Pursuant to § 89-9-19(4), you are hereby notified that your tenancy is terminated immediately. You must move from the premises no later than [MM/DD/YYYY] at [HH:MM] ☐ AM | ☐ PM. You must move from the premises no later than this date and time. If you have not moved by the date and time indicated on this notice, a lawsuit may be filed to evict you.

Landlord / Agent Signature: _____________________________
Printed Name: _____________________________