FORMS STORE

Complete Your Custom ORHA Rental Form

Please Fill In the Form

Save/Update Auto-Fill Entries

O16 : Agreement to Accept Electronically Transferred Funds

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

By the signatures below, and in accordance with ORS 90.300(13), Tenant(s) agrees to accept refund of any monies due electronically to a Bank Account or other Financial Institution designated by the Tenant(s).

This Agreement may only be executed after the Tenancy has begun and Tenant(s) has taken possession of the Dwelling Unit.

Bank or Financial Institution where Owner/Agent may refund any amounts due to Tenant(s):

Bank or Financial Institution

Bank Routing Number:

routing

Bank Account Number:

account

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



Tenant	Date	Tenant	Date

Tenant	Date	Tenant	Date

Owner/Agent	Date	Owner/Agent	Date

O16 : Agreement to Accept Electronically Transferred Funds

Rev.12/23

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.

Preview Form