Complete Your Custom ORHA Rental Form

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Please Fill In the Form




Required entries are indicated by blue icons or *

I, or if more than one, we, jointly and severally, promise to pay to the order of Owner/Agent (name):
 at the address listed below, the sum of
 with interest at the rate of
 percent per annum, payable in
monthly installments of

If any installment is not paid as agreed when due, the entire balance of principal and interest shall become immediately due and payable. The principal balance then will include reasonable costs for collection, including court costs and attorney’s fees.

Payment Schedule

Please Note: Payor Signature fields must be signed and dated after printing.

Name (please print)
Signature:   Date:

Name (please print)
Signature:   Date:

Name (please print)
Signature:   Date:

Name (please print)
Signature:   Date:

Please Note: Signature fields must be filled in and signed by all parties after printing.

Owner/Agent Signature:   Date:


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PO Box 20862, Keizer, OR 97307
eMail: forms@oregonrentalhousing.com