Please Note: This version of the Application to Rent form is for use with Rental Properties outside of the City of Portland, Oregon ONLY.
To switch to the City of Portland version of this form click the button below.
Please list all household animals.
Incomplete Applications will not be accepted. Inability to verify information may result in denial of Application. Presentation of false information may result in denial of Application or termination of tenancy if discovered within one year of submission of Application.
I certify the above information is correct and complete and hereby authorize the Owner/Agent to make any inquiries the Owner/Agent feels necessary to evaluate my tenancy and credit standing (including, but not limited to credit reports). If Owner/Agent is requiring payment of an Applicant Screening Charge, I acknowledge receiving a copy of and/or reading Owner/Agent’s Screening Guidelines. I understand that I have the right to dispute the accuracy of any information provided to the Owner/Agent by a screening service or credit reporting agency.
No marijuana, medical or otherwise, may be grown, stored or consumed on the premises without the prior written consent of Owner/Agent.
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PO Box 20862, Keizer, OR 97307