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FORM #44 - 144-Hour Notice to Pay or Vacate for Non-Payment of Rent


  • Tenant(s): et al (and all others)
  • Tenant(s):
  • Address: Unit:
  • City: OREGON Zip:

This is to inform you that your rent is now at least 4 days past due. This is your 144-hour written notice to pay your past due rent or your rental agreement will be terminated as provided by Oregon Landlord/Tenant Law.


To Satisfy This Notice, You Must Pay At Least Your Past Due Rent Amount of: $


___ This notice has been served personally to each individual named above.
Date: ___________________________ Time: _____________________
Your Past Due Rent Amount must be paid by: _______________ (time or 11:59 pm if left blank) on _____________ (date) or your tenancy will be terminated automatically without further notice.

___ This notice has been served by posting on the main entrance door of the dwelling unit and mailed first class mail.
Date: ___________________________ Time: ______________________
Your Past Due Rent Amount must be paid by 11:59 pm on _____________ (date) or your tenancy will be terminated automatically without further notice.

___ This notice has been served by first class mail and the effective date is extended by four days, including date mailed.
Date Mailed: ________________________ Time: ______________________
Your Past Due Rent Amount must be paid by 11:59 pm on _____________ (date) or your tenancy will be terminated automatically without further notice.


Housing Choice/Section 8 Voucher Recipients: Notice is served by one of the methods above AND a copy mailed, emailed or faxed to the Public Housing Authority the same day.


Make Payments to:

  • Owner/Agent:
  • Address:
  • City: , State: Zip:
  • Telephone: Email:

For Informational Purposes Only

Late Fee per Written Rental Agreement: $
Actual Damages (costs) incurred by Owner/Agent for preparation and service of this notice: $
Other amounts owed on account: $
Total Amount Due (not including rent amount above): $
There may be additional charges due under your rental agreement for which you remain responsible. To avoid termination of your tenancy for non-payment of rent, you need only pay the Past Due Rent Amount listed above.

     

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1462 Commercial St. NE, Salem, OR 97301
Phone: 503-364-5468 | Fax: 503-585-8119

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