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FORM #44: 144-HOUR NOTICE TO PAY OR VACATE FOR NON-PAYMENT OF RENT


 Required entries are indicated by * 

  • Tenant(s)*:
  • Tenant(s): et al (and all others)
  • 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.

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 non-payment 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. This is your violation in the last 12 months.


Owner/Agent Signature: ___________________________ Date: __________________

  • 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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