Complete Your Custom ORHA Rental Form

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A Co-Signer must have verifiable gross monthly income of at least
 times the amount of the monthly Rent and have a positive credit history.

Verifiable income may mean, but is not limited to: employment paychecks, bank accounts, alimony/child support, trust accounts, Social Security, unemployment, welfare, grants/loans, and housing assistance. Owner/Agent may use credit reports to verify the accuracy of the information provided by Co-Signers. Income derived from non-garnish able sources (retirement income, trust income, Social Security Income, etc.) may be excluded for the purposes of meeting the income criteria if the Landlord so chooses. Co-signers must list all existing credit and debts on the Application. A negative credit report may result in an Application denial. Negative reports include, but are not limited to: late payments, collections, judgments, debt to income ratio, and bankruptcy. When approved, a Co-Signer must complete a Co-Signer Agreement.

  • Any information provided that is incomplete, inaccurate or falsified may be grounds for denial of the Application.
  • Co-Signers may be rejected on the demeanor in which they treat Owner/Agent or other parties present.
  • If the obligations under a Rental Agreement are guaranteed by a Co-Signer, the Tenant agrees that Owner/Agent would not have rented to them without the guaranty. In the event the guaranty becomes unenforceable for any reason, this will be considered a material noncompliance with the Rental Agreement. Tenant(s) may then be resposible to find an alternate Co-Signer acceptable to the Owner/Agent, or pay an increased Security Deposit to cure the noncompliance.
  • Owner/Agent reserves the right to notify the Co-Signer about any information related to the tenancy deemed necessary.
  • The original signed, notarized Co-Signer Agreement must be returned to Owner/Agent within three business days of notification to the Applicant of Application approval. Failure to return the original form (not a faxed copy) within this timeframe may result in a forfeiture of the Deposit to Hold.
(incl. City, State & Zip)



Has a former Landlord ever filed any kind of legal action against you?

I certify the above information is correct and complete and hereby authorize Owner/Agent to make any and all inquiries deemed necessary to evaluate my ability to guarantee. I understand that anything found to be untrue may result in an immediate rejection of this Application and would be grounds for immediate termination if a Rental Agreement has been executed.


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

Co-signer Applicant    Date 

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PO Box 20862, Keizer, OR 97307
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