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Please Note: This version of the "Notice of Termination Qualifying Landlord Reason" form is for use with Rental Properties outside of the City of Portland, Oregon ONLY.
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Required entries are indicated by blue icons or *

et al (and all others)

Owner/Agent hereby serves you 90 days' notice of the termination of your tenancy for a Qualifying Landlord Reason:
Your tenancy is being terminated and you must vacate the Rental Unit you now occupy no later than 11:59 p.m. (end of day) on
The facts which support this notice are:
RELOCATION FEE - If the Owner of the Dwelling Unit has an ownership interest in more than four residential Rental Units subject to ORS Chapter 90, a Relocation Fee of one month’s Periodic Rent is required to be paid to the Tenant(s) at the time this notice is delivered.

If your Termination Date is not at the end of your Rental Period, and you have not paid a Last Month’s Rent Deposit, you will owe Rent for a partial month.

Your prorated Rent from

If you did pay a Last Month’s Rent Deposit that exceeds the Date of Termination, the Landlord is required to account for those funds separately at the time of Security Deposit Reconciliation within 31 days of Surrender of Possession of the Dwelling Unit.


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

Owner/Agent Signature:   Date:

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