ORHA Logo

Complete Your Custom ORHA Rental Form

shopping cart

Please Fill In the Form


Form #12 : DEPOSIT ACCOUNTING

 

Please Note: Fields on this form are NOT calculated automatically.

 
 
 
 
 
 
 
 

Please Note: Fields on this form are NOT calculated automatically.

 
Section #1 -Deposits Paid

Pet Deposit

Other Deposit

Other Deposit

Security Deposit
 
Section #2 - Last Month’s Rent Deposit, Prepaid Rent

Last Month's Rent Deposit

Prepaid Rent

Total Rent Deposit and Prepaid Rent
 
Section #3 - Rent Proration

 
divided by 30 days =

Rent due from
 
to
 
=

 
x
 
=
 
Section #4 - Rent Deposit or Prepaid Rent
(Skip this if Section #2 is $0)

Total Rent Deposit and Prepaid Rent

Rent Due
(Subtract from above)

Refund to Tenant
 
Section #5 - Deductions to Security Deposit

Past Due Rent

Prorated Unpaid Rent due

Past Due Utilities/Services

Other Utilities/Services

Fees/Non-Compliance Charges

Fees/Non-Compliance Charges

Fees/Non-Compliance Charges

Cleaning

Cleaning

Carpet Cleaning

Landscaping

Landscaping

Damages

Damages

Damages

Other

Other

Other

Pet Damage (if no Pet Deposit)

Additional days to prepare for re-renting:
days X Daily Rent
=

Total Security Deposit Deductions
 
Section #6 - Pet Deposit Balance
(Skip this if Pet Deposit from Section #1 is $0)

Pet Deposit Amount

Damages Caused by Pet(s)
(Subtract from deposit)

Balance

(If deductions are more than the deposit, .

If there is a positive balance )

 
Section #7 - Other Deposit Balance
(Skip this if Other Deposit from Section #1 is $0)

Other Deposit Amount

Deductions for:
(Subtract from deposit)

Balance

(If deductions are more than the deposit, .

If there is a positive balance )

 
Section #8 - Other Deposit Balance
(Skip this if Other Deposit from Section #1 is $0)

Other Deposit Amount

Deductions for:
(Subtract from deposit)

Balance

(If deductions are more than the deposit, .

If there is a positive balance )

 
Section #9 - Security Deposit Balance
(Skip this if Security Deposit from Section #1 is $0)

Security Deposit Amount

Total Deductions
(From Section #5)
(Subtract from deposit)

Balance

(If deductions are more than the deposit, .

If there is a positive balance )

 
In accordance with ORS 90, Owner/Agent may claim: unpaid rent, utilities/services, fees, cleaning, landscaping damages, damages to rental unit, pet damages and recover rent for the days necessary to prepare the rental unit for re-renting. Owner/Agent must provide Tenant(s) an accounting within 31 days of termination or surrender of the property.
 
Section #10 - Final Balance Due Owner/Agent

Rent Due Owner/Agent

Amount due Owner/Agent

Amount due Owner/Agent

Amount due Owner/Agent

Amount due Owner/Agent

Total Owed to Owner/Agent By Tenant(s)
 
Section #11 - Refund Due Tenant(s)

Rent refund due Tenant(s)

Deposit refund due Tenant(s)

Deposit refund due Tenant(s)

Deposit refund due Tenant(s)

Deposit refund due Tenant(s)

Total Refund Due Tenant(s)
 

If Tenants are due a refund (see Section #11), a check is enclosed for the total amount of the refund. Depositing or cashing the check constitutes acceptance as payment in full.

If there is a balance due the Owner/Agent (see Section #10), the total amount owing is due immediately and must be paid within 10 days. If payment in full is not received within 10 days, appropriate legal and/or other actions may be taken to collect the amount owed. Actions may include, but are not limited to; filing a Small Claims suit, Wage Garnishment, assigning to a Collection Agency and/or reporting to a Credit Reporting Agency.

If you can not make the payment in full within 10 days, the Owner/Agent may be willing to make payment arrangements. Contact Owner IMMEDIATELY for payment options.

 

Please Note: Signature field must be filled in and signed after printing.

Owner/Agent Signature:   Date:

MAKE PAYMENTS TO:


  • Click "Preview Form" below to check your information.
  • If the form is correct, close the preview to return to this page, then click "Generate PDF". Your form will be created and added to your cart.
  • From your cart, you can return to the Forms Store to create more forms, delete forms from your cart or purchase the items in your cart.

© 2019 Oregon Rental Housing Association - All Rights Reserved
1462 Commercial St. NE, Salem, OR 97301
Phone: 503-364-5468 | Fax: 503-585-8119

Powered by Wild Apricot Membership Software