Complete Your Custom ORHA Rental Form

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Please Note: There are fields to be filled in after printing and the form must be signed and dated


 Required entries are indicated by * 

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

    (If left blank, notice was personally served prior to 11:59 p.m. on date of service)
    (If left blank, notice was posted and mailed prior to 11:59 p.m. on date of service)
  •   MAILED:
    (If left blank, notice was mailed prior to 11:59 p.m. on date of service)

In accordance with Oregon Residential Landlord Tenant Act, this notice is to inform you that one or more pets capable of causing damage is/are being kept in the rental unit, in violation of your rental agreement. You are responsible for all damages caused by any unauthorized pets.

Unless you remove the pet(s) within ten (10) days (or fourteen (14) days if served by mail ONLY), after the date of service noted above, your rental agreement will be terminated and you must vacate the rental unit no later than 11:59 p.m. on this date: .

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.

Be advised that this notice also serves as your written warning notice. If the animal is not removed from the rental unit within 48 hours of the effective date of this notice, a $250 non-compliance fee may be assessed for each 48-hour period during which the unauthorized pet remains in the rental unit.

Owner/Agent Signature: ___________________________ Date: __________________

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

If notice is served by mail ONLY, the ending date must include an additional four (4) days to allow for the delivery of notice, including date of mailing.
This notice, if mailed, shall be mailed First Class Mail ONLY (not certified, registered, etc.).

Owner/Agent does not waive the right to terminate by simultaneously or subsequently served notices.


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

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