Complete Your Custom ORHA Rental Form

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Required entries are indicated by blue icons or *

et al (and all others)


As of DATE:


Notice to Vehicle Owner:

For one or more of the following reasons this Vehicle is subject to being towed away within 72 hours at your expense:

If you are on a Fixed-term Lease, be advised your Landlord has the option to terminate your tenancy at the End of your Lease if you have received three or more Notices for Noncompliance (including Nonpayment of Rent) within a 12-month period preceding the End of the Fixed-term. Owner/Agent may terminate the tenancy by issuing a 90-Day Notice prior to the Lease End Date, or 90 days prior to the date designated in the Notice, whichever is later. Correcting the third or subsequent violation is not a defense to the termination.
This is your
violation in the last 12 months.

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

Owner/Agent Signature:   Date:

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