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VT3 : 72-HOUR NOTICE

TO PAY OR VACATE FOR NONPAYMENT OF RENT

WEEK-TO-WEEK TENANCY

Required entries are indicated by blue icons or *

Tenant(s)* (required)

Tenant(s)

et al (and all others)

Property Address* (required)

Unit #

City (Oregon ONLY)

OREGON Zip Code

This is to inform you that your Rent is now at least four (4) days past due.
This is your 72-Hour Written Notice to Pay Your Past Due Rent or your Rental Agreement will
be terminated as provided by Oregon Landlord/Tenant Law.

To Satisfy This Notice, You Must Pay At Least Your Past Due Rent Amount of:

0.00

This Notice has been served by First Class Mail and the Effective Date is extended by four days, including Date Mailed.

This Notice has been served by another method allowed by ORS 90.155:

If you are a veteran of the armed forces, assistance may be available from a county veterans' service officer or community action agency. Call the 2-1-1 information service to learn about resources in your area.

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


Owner/Agent Signature:			Date:

MAKE PAYMENTS TO:

Owner/Agent

Address

City

State

Zip

Telephone

For Informational Purposes Only:

Actual Damages (costs) incurred by Owner/Agent for permission and service of this Notice:

0.00

Other Amounts Owed:

0.00

Total Amount Due (not including Rent Amount above):

0.00

There may be additional charges due under your Rental Agreement for which you remain responsible. To avoid Termination of your Tenancy for Nonpayment of Rent, you need only pay the Past Due Rent Amount listed above.

VT3 : 72-HOUR NOTICE

TO PAY OR VACATE FOR NONPAYMENT OF RENT

WEEK-TO-WEEK TENANCY

Rev.3/22

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