Fill and Sign the Oregon Pay Rent Form

6-DAY (144 hour) NOTICE TO PAY RENT OR LEASE TERMINATES – RESIDENTIAL (This Notice shall not be given until at least the 5 th day the rent has remained due and unpaid) TO: Tenant(s):       FROM: Landlord                                                       Address of Leased Premises:       Whereas this is, at least, the 5 th day the rent has been due and unpaid, NOTICE IS HEREBY GIVEN that you are in breach of the Lease Agreement on the above described lease premises due to failure to timely pay rent. Except as provided below, within six (6) days after service of this notice upon you, you must pay in full to Landlord the rent and other charges now due and unpaid, as follows: $       Rent for       $       Late Charges       $       Other       $       Other             $       Total (exclusive of future accruing costs Payment will be accepted only by: cash; money order; cashier’s or certified check; personal check IF YOU FAIL TO TENDER FULL PAYMENT, your Lease will be terminated and you must surrender possession of the premises to Landlord. If you fail, within the six (6) day notice period, either to pay the total charges in full, or to surrender possession of the premises, legal proceedings will be commenced against you to recover possession and to recover a judgment for the rent and damages for your unlawful detention of the premises, and all costs of court including attorneys’ fees to the extend allowed by applicable law and/or the lease agreement. Surrender of the premises does not relieve you of liability for the outstanding balance. The six (6) day (minimum 144 hour) notice period described herein shall expire at:       o’clock [a.m./p.m.], on the       day of       , 20       . LANDLORD RESERVES ALL RIGHTS AND REMEDIES UNDER THE LEASE AGREEMENT AND UNDER APPLICABLE LAW, INCLUDING BUT NOT LIMITED TO CONTRACTUAL DAMAGES FOR UNPAID RENT, AND NOTHING IN THIS NOTICE MAY BE CONSTRUED AS A WAIVER OR RELINQUISHMENT OF SAME. If you have any questions, please call       , at       . Signed, this the       day of       , 20       , being at least the 5 th day the rent has remained due and unpaid. Signed: ____________________________________ Landlord/Lessor or authorized agent Notice to Pay Rent – page 1 PROOF OF DELIVERY A copy of this Notice was delivered to Tenant: by hand by first class mail at the above address, which is: the place designated by Tenant for receipt of communications; Tenant’s last known place of residence; Notice delivered/mailed by: Sign Name Print Name In his/her capacity as: Landlord/Lessor; Manager; Agent. Notice delivered/mailed on: [date] Notice to Pay Rent – page 2 Form Note (not part of form) This form is drawn from the following statutory selection: 90.400 Effect of tenant noncompliance with rental agreement or statute; failure to pay rent; damage to persons or property; false information; drug or alcohol violations. … (2) The landlord may immediately terminate the rental agreement for nonpayment of rent and take possession of the dwelling unit in the manner provided in ORS 105.105 to 105.168 after written notice, as follows: … (b) In the case of all other tenancies, by delivering to the tenant: (A) At least 72 hours' written notice of nonpayment and the landlord's intention to terminate the rental agreement if the rent is not paid within that period. The landlord shall give this notice no sooner than on the eighth day of the rental period, including the first day the rent is due; or (B) At least 144 hours' written notice of nonpayment and the landlord's intention to terminate the rental agreement if the rent is not paid within that period. The landlord shall give this notice no sooner than on the fifth day of the rental period, including the first day the rent is due. [As you can see, there is a choice of method for the landlord – this form represents choice B. - Editors]