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O10 : TENANT INFORMATION UPDATE

Required entries are indicated by blue icons or *

Tenant(s)* (required)

Tenant(s)

et al (and all others)

Property Address* (required)

Unit #

City (Oregon ONLY)

OREGON Zip Code

Yes

Has your mailing address changed?

If yes, please provide new mailing address:

New Mailing Address & Associated Tenant(s)

Yes

Has any member of your household changed their email address or phone number?

If yes, please provide updated email address(es) or phone number(s):

New Email/Phone Info & Associated Tenant(s)

Yes

Has any member of your household changed jobs?

If yes, please provide updated employment information:

Updated Employer Info & Associated Tenant(s)

Yes

Has any member of your household obtained a new animal?

If yes, please provide new animal information:

New Animal Info & Associated Tenant(s)

Yes

Has any member of your household obtained a new vehicle?

If yes, please provide new vehicle information:

Updated Vehicle Info & Associated Tenant(s)

Please list a person or persons outside your immediate household to contact in case of emergency or death, including relevant contact information (mailing address, physical address, phone number, e-mail):

Emergency Contact

By the signature(s) below, I/we do affirm that this updated information is accurate.

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



Tenant	Date	Tenant	Date

Tenant	Date	Tenant	Date

Tenant	Date	Tenant	Date

O10 : TENANT INFORMATION UPDATE

Rev.4/22

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