Complete Your Custom ORHA Rental Form

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Please Fill In the Form




Required entries are indicated by blue icons or *

Required entries are indicated by blue icons or *


Enclosed is an accounting that outlines what you owed when you moved out and the expenses incurred in returning the property to rentable condition.

Please remit funds for the total amount within the next ten days. If you do not pay, Owner/Agent has the right to enforce this debt by taking you to court or turning this debt over to collections.

If you have difficulty paying this amount, Owner/Agent may be willing to accept payments. Enclosed is a Promissory/Installment Note, allowing you to pay the amount you owe in payments. Please sign the agreement where indicated and return.


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