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Required entries are indicated by *

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

Tenant(s) hereby give(s) thirty (30) days’ notice to the owner/agent of their intent to move from the rental unit at*: . In accordance with the rental agreement this notice is effective for all Tenants of this rental unit.

It is agreed and understood that the rental unit may be shown at reasonable times prior to the expiration of this notice after the Owner/Agent issues appropriate notice to enter. Tenant(s) hereby certifies that payments of all utilities are current.

This notice terminates the tenancy on:
(no less than 30 days, 34 days if mailed ONLY, from the date served, not including day of service)

Tenant(s) will deliver possession of the property
to Owner/Agent no later than 11:59 p.m. on that day.

Forwarding Address:


© 2018 Oregon Rental Housing Association - All Rights Reserved
1462 Commercial St. NE, Salem, OR 97301
Phone: 503-364-5468 | Fax: 503-585-8119

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