N4 Form Sample PDF (Annotated)

This is what a properly completed Ontario N4 form looks like. Every section is annotated so you understand what each field means before you generate your own.

Sample of a completed Ontario N4 form generated by EasyServe with annotated termination date, rent owing, and signature fields

Key Sections of the N4 Form

Section 1 — To/From

Tenant names (every adult on the lease) and rental address. Names must match the lease exactly.

Section 2 — Termination Date

The date by which the tenant must pay or vacate. Calculated from notice date + minimum period + service method adjustment.

Section 3 — Rent Owing Breakdown

A row for each rent period: from–to dates, rent charged, rent paid, balance owing. Math must be exact.

Section 4 — Signature

Landlord or representative signature with date. If a representative signs, their LSUC number is required.

Certificate of Service (separate page)

Required for the L1 application. Documents how, when, and where the N4 was served.

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