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ATTENTION HOUSING PROVIDERS!

HB 4401 allows for service of notice for nonpayment of current moneys owing, but only under very specific circumstances.

This form is provided for your convenience only.

Effective July 1, 2021, Senate Bill 278 requires that when serving a Notice for Nonpayment, the Landlord must include a notice about a Tenant’s rights to be protected from eviction. This notice must also be included with any court summons for eviction for nonpayment. “Nonpayment” means the nonpayment of a payment that is due to a Landlord, including a payment of Rent, Late Charges, utility or Service Charges or any other Charge or Fee as described in the Rental Agreement or ORS 90.140, 90.302, 90.315, 90.392, 90.394, 90.560 to90.584 or 90.630.

YOU ARE STRONGLY ADVISED TO SEEK PROFESSIONAL LEGAL COUNSEL BEFORE TAKING ANY ACTION AGAINST YOUR RESIDENTS AT THIS TIME!!!


Form #4A : 10-DAY NOTICE TO PAY OR VACATE

FOR NONPAYMENT OF RENT

 

Required entries are indicated by blue icons or *

et al (and all others)

This is to inform you that your rent is now at least seven (7) days past due. This is your 10-day 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: 
 


 


 


 
 
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 Nonpayment 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.
 
 

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

Owner/Agent Signature:   Date:

MAKE PAYMENTS TO:

For Informational Purposes Only:
Late Fee per Written Rental/Lease Agreement:
 

Actual Damages (costs) incurred by Owner/Agent for permission and service of this notice:
 

Other Amounts Owed:
 

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 Nonpayment of Rent, you need only pay the Past Due Rent Amount listed above.

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PO Box 20862, Keizer, OR 97307
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