Required entries are indicated
by blue icons or *
This is a reminder that your rent is past due.
according to the terms of your rental/lease agreement.
If the rent remains unpaid, further action may be taken
under ORS 105 to return possession of the rental unit to the Owner/Agent.
If you are on a Fixed-term Lease, be advised your Landlord has the option to
terminate your tenancy at the End of your Lease if you have received three or more Notices for Noncompliance
(including Nonpayment of Rent) within a 12-month period preceding the End of the Fixed-term. Owner/Agent may
terminate the tenancy by issuing a 90-Day Notice prior to the Lease End Date, or 90 days prior to the date
designated in the Notice, whichever is later. Correcting the third or subsequent violation is not a defense to
the termination.
Please Note: Signature field must be
filled in and signed after printing.
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Owner/Agent Signature: |
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Date: |
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Eviction for Nonpayment of Rent, Charges and Fees that accrued on and after April 1, 2020, and
before June 30, 2021, is not allowed before February 28, 2022.
Information regarding Tenant resources is available at www.211info.org.