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O16 : Agreement to Accept Electronically Transferred Funds


Required entries are indicated by blue icons or *

et al (and all others)


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 Routing Number:
Bank Account Number:


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

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