Please Note: This version of the "Landlord Exemption Notification for City of Eugene
Relocation Assistance" Notice is for use with Rental Properties within the City of Eugene, Oregon ONLY.
There is no standard Oregon State version of this form and is not required for cities other than Eugene.
Required entries are indicated
by blue icons or *
Per the requirements of Eugene Code (17)(g), this is your
Notification that your Landlord is exempt from payment of Relocation Assistance for the following
reason (listed as Exemptions 1-11):
Please Note: Signature fields must
be filled in and signed by all parties after printing.
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Owner/Agent Signature: |
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Date: |
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