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O10 : TENANT INFORMATION UPDATE

 

Required entries are indicated by blue icons or *

 
 
et al (and all others)
 
 
 
 , OREGON
 
 
 Has your mailing address changed?
 
If yes, please provide new mailing address:
 
 Has any member of your household changed their email address or phone number?
 
If yes, please provide updated email address(es) or phone number(s):
 
 Has any member of your household changed jobs?
 
If yes, please provide updated employment information:
 
 Has any member of your household obtained a new animal?
 
If yes, please provide new animal information:
 
 Has any member of your household obtained a new vehicle?
 
If yes, please provide new vehicle information:
 
Please list a person or persons outside your immediate household to contact in case of emergency or death, including relevant contact information (mailing address, physical address, phone number, e-mail):
1.
2.
3.

By the signature(s) below, I/we do affirm that this updated information is accurate.

 

Please Note: Form must be signed and dated after printing.

 
Tenant Date   Tenant Date
 
Tenant Date   Tenant Date
 
Tenant Date   Tenant Date
O10 : TENANT INFORMATION UPDATE
Rev.4/22

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