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72-HOUR NOTICE
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PAY OR VACATE FOR NON-PAYMENT OF RENT
Tenant Name(s):__________________________
__________________________
__________________________
__________________________
_________________________
U
SE
_________________________
et. al (and all others)
Address: _________________________________________________________________________________________
City: __________________________________________________________, OREGON Zip: _________________
FO
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This is to inform you that your rent is now at least seven (7) 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: $_______________
 This notice has been served by posting on the main entrance door of the dwelling unit and mailed
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first class mail. Date: ___________________________ Time: ______________________
Your Past Due Rent Amount must be paid by 11:59 pm on _____________ (date) or your tenancy will
be terminated automatically without further notice.
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OR
 This notice has been served by first class mail and the effective date is extended by four days,
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including date mailed. Date Mailed: ________________________ Time: ______________________
Your Past Due Rent Amount must be paid by 11:59 pm on _____________ (date) or your tenancy will
be terminated automatically without further notice.
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LY
OR
 This notice has been served personally to each individual named above.
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Date: ___________________________ Time: _____________________
Your Past Due Rent Amount must be paid by: _______________ (time or 11:59 pm if left blank)
on _____________ (date) or your tenancy will be terminated automatically without further notice.
Section 8 Vouchers: Notice served by one of the methods above AND a copy mailed to Public Housing Authority the same day.
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Make Payments to:
Owner/Agent: ______________________________________________________________________________________
Address:___________________________________________________________________________________________
City:________________________________________________________ OREGON, Zip: ________________________
Telephone:__________________________________________ Email:_________________________________________
For Informational Purposes Only:
$_____________________
Actual Damages (costs) incurred by Owner/Agent for preparation and service of this notice:
$_____________________
Other amounts owed on account:
$_____________________
Total Amount Due:
$_____________________
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Late Fee per Written Rental Agreement:
There may be additional charges due under your rental agreement for which you remain responsible. To avoid termination of your
tenancy for non-payment of rent, you need only pay the Past Due Rent Amount listed above.
_________________________________________________________
Owner/Agent
___________________________________________
Date
Equal Housing Opportunity
Oregon Rental Housing Association, Inc.
WARNING: No portion of this form may be reprinted without written
permission of the Oregon Rental Housing Association, Inc.
© Copyright 2013 Rev.1/13
www.oregonrentalhousing.com