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V3 : PAST-DUE RENT REMINDER

 

Required entries are indicated by blue icons or *

 
 
et al (and all others)
 
 
 
 , OREGON
 

This is a reminder that your rent is past due.

Your past-due rent amount is: 
 
You will be assessed a late charge of:  
 
according to the terms of your rental/lease agreement.
 

If the rent remains unpaid, further action may be taken
under ORS 105 to return possession of the rental unit to the Owner/Agent.

 
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: Form must be signed and dated after printing.

Owner/Agent Signature:   Date: 

MAKE PAYMENTS TO:

Eviction for Nonpayment of Rent, Charges and Fees that accrued on and after April 1, 2020, and before June 30, 2021, is not allowed before February 28, 2022. Information regarding Tenant resources is available at www.211info.org.

V3 : PAST-DUE RENT REMINDER
Rev.10/21

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