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Tenant Information

(Oregon ONLY)
(Oregon ONLY)
(Including city, state, zip)


Monthly Rent Amount
 Due on:
 day of each month.
Lease Term Beginning
1st Month's Rent pro-rated from

All other areas of the property and unit are considered common areas, accessible by Tenant(s) and all other Residents at reasonable times for reasonable purposes, unless otherwise indicated in writing.

Late Fees

If payment is not received by 11:59 pm on the 4th day of the Rental Period Tenant(s) will be charged a Late Fee as follows (select ONLY one):


Early termination of Lease Fee

Early termination of lease will be charged as a fee equal to 1-1/2 times the monthly rent OR Actual Damages, to be determined at the time of the deposit accounting, and to be to be exercised at discretion of Owner/Agent.
See #25 for Explanation

Move-in Accounting Rent & Deposits

Security Deposit
Pet Deposit
Other Deposit
Pro Rated Rent
1st Month's Rent
Last Month's Rent
Deposit to Hold (subtract)
Total Due

City of Portland Required Disclosure

Bank name and address where Deposits are held:
Type of Account:

Noncompliance and Other Fees

Smoke Alarm and Carbon Monoxide Alarm tampering Fee
(See #18 for explanation)
Dishonored check Fee (plus amount charged by bank)
(See #20 for explanation)
Late payment of utility fee
(See Service Charge Disclosure section for explanation)
Failure to clean up animal waste, garbage or other waste
(See #21 for explanation)
Parking violation or other improper use of vehicle
(See #21 and #33 for explanation)
Smoking/Vaping in a clearly designated non-smoking/vaping unit or area
(See Smoke/Vape-Free Agreement and #21 for explanation)
$ 250.00
Unauthorized pet capable of causing damage
(See #21 for explanation)
$ 250.00


 Pays Electricity
 Pays Water
 Pays Sewer
 Pays Cable
 Pays Gas
 Pays Garbage

O = Owner Pays

T = Tenant Pays

N/A = Not Applicable

Furnished to Unit

The unit has been equipped with exterior locks for all doors, and the following keys/openers provided:

Occupancy of Premises

Only the following person(s) shall occupy the premises:

Owner/Agent Contact Information

Payments may be made at the above address. Contact Owner/Agent for electronic or direct deposit payment options.

For Services of Notices to Owner/Agent

Include description of where at the property Tenant(s) may attach notice, such as “front door,” “drop slot,” “gate,” etc.

Emergency Contact for Tenant

Person to notify in case of emergency or death of Tenant(s)

Service Charge Disclosure

Utilities or Services benefiting Landlord, other Tenants or common areas:

“Utility or Service” includes but is not limited to electricity, natural or liquid propane gas, oil, water, hot water, heat, air conditioning, cable television, direct satellite or other video subscription services, Internet access or usage, sewer service, public services and garbage collection and disposal.

Tenant Utility Charges for this unit include:
Basis for allocation of Monthly Utility Charges to unit or common areas (select one):
Name & address of third-party billing company, if any:

Utility Charges billed are due within seven days of Billing Date or the date noted on the utility bill. Failure to pay charges when due constitutes a material violation of the Rental Agreement. If any bill for Utilities or Services remains unpaid for a period of more than 30 days, after issuance of a Notice of Noncompliance, Owner/Agent may charge Noncompliance Fees as allowed by law. Utility bills may be delivered by First Class Mail, email or personal delivery to the unit address.


Tenant(s) is allowed to park a maximum of
Vehicles on the premises.

Vehicle 1 Description:

Vehicle 2 Description:

Vehicle 3 Description:

Vehicle 4 Description:


Pets Allowed:
(if Yes, see attached Pet Agreement)







Tenant(s) is responsible for regular landscaping.
(See attached Exterior Property Care Agreement)


  If boxes are checked, Tenant(s) agrees to allow the use of:


Rules & Regulations

  1. Guests:
    Written Permission from the Owner/Agent is required if Guest(s) remain(s) more than
    days and/or nights in any
    month period




Where used in this Agreement “Owner/Agent” means “Landlord” as defined in ORS 90.100. All parties acknowledge having read and understand all pages and attachments to this Agreement. All questions have been answered.


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

Tenant Date   Tenant Date
Tenant Date   Tenant Date
Tenant Date   Tenant Date
Owner/Agent Date   Owner/Agent Date

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