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w. <br />. : , <br />; <br />~ :; :, , ~ , , .~: <br />~.. ~ .. _ <br />Muftifamilv Housing Council <br />of Oregon '~ <br />MFH~ <br />Selem, OR 97301 <br />. , ~ ~ . <br />1. DATE: { ~ ~'1 ` ~ ~ ~" ADORESS OF PREMISES ~/ ~ ~ C~ 4'''Y`?'~g ;, G ~ } ~,,,, <br />2. TENANCY TO BE: 0 Week-to-week `~Month-Oo-month Beginning: ' Rent Due Date: "`"` • ~+ .~ ~' <br />Q Flxed Term Lease Beginning: Ending: Rent Due Date: <br />3. OCCUPANTS: <br />NAM~ DATE OF 81RTH SOCtAL SECURITY NUMBE~a, <br />;r~~,l>>-~t'~ '~1'e t'~.~,, rl ~ 'l~'~- "~'-C ~;~I~,,-'~'?,- !~C~'~~1., <br />"~,~- . <br />5. UTILITY PAYMENT RESPONSI91U7Y <br /> Tenant W~t <br />Water ^ <br /> <br />Sewer <br />^ ~ <br />Oii ^ ^ ~ , <br />ElecVk ~ ~ 0 ~ ~ ' <br />Gas ^ ^ <br />Garbage ^ ,2r" .-, <br />cabie ~' ``~~ ~ <br /> <br />Other <br />~ ~ C.,1`; <br />~Q, <br />_.._ <br />~. APPLIANCES INCLU4ED <br />° ( blr Mb ~~lel Indk:afeid) <br />~~ <br />' Refrigerator <br />~~ ~ <br />~ W~ <br />^ Dryer <br />^ Garb~e Disposal <br />0 Other " <br />4. VEHICLES <br />MAKE YEAR - LICENSE NUMBER <br />PARKINO SPACE ABSN9NED <br />-- _ ___ __ <br />7. RENT AND CHARCiES <br />a. Stated Rent $ ' ''~- ~ ".~ ~ ~' <br />b. La~ charge of $ '~ ~o =- <br />will be assessed if rent is r~ived at fhe place <br />of payrt~nt afber fhe ~ of tt~month. <br />c. Return check charge $ -~ <br />d. Other $ <br />e. au,e~ s <br />S. UTILITIES shared by others and paid by tenant <br />9. NO ASSIGNMENT OR SU~LETTING: The tenant agrees tl~at said premises arlll not be oocupied by eny other pereons tl'-an lhose iisted on the agreement <br />A guest staying more than ~/Ldays and/or nights within a calendar year must have tl~e wrftte~ permission of fhe IandbM. <br />10. MAINTENANCE AND REPAIR CHARGES: The landlo-d's deflniUon df d~n shall be tl~ fin~ deflnltbn. Repairs or malntenance of t~nant caused damage <br />and deaning above normai wear arid bear during occupancy or at terminatlo~- will be biqec~,d as assessed by the IandloM and/or at ,~;~7 per hour. <br />11. RESPONSIBLE PARTIES: The tenant agrses that if tlie unrt ~ oocupied by rtwre than or~ person, tenartffi are individual jointly and severally ti~le far <br />the rent and otlier charges. If one oxupant vacates, tl~e remaining oxupants must be rescreened and requadfled wilhin days of the change in <br />occupancy. ^ The rental agreemeM is a peR of agreerrre~s wRh varbus room~. Ii any roanmate terminetea, tl~e secu deposft shali stay with the unR <br />ur~til finat terminatfon of all occupaMs. <br />~ #'~ j'~ '~ ~"LLC;%r'-~ ~~'~ ~ (71'1~ - -~ f;~ ~ (.4 J~J ~ 1~1 r, <br />12. PETS: Pets are deflned as any animal c~pable of ddng Property damape or personal inJury. (~ r;-" t'~+ ~ T~ c7 ~~ j L' ~ <br />,~ets are aa;epted per the attached addendum. ^ Pets are strictly prohibited witl~out the writtien autl~orizatlon of the landiord. <br />13. REAL ESTATE DISCLOSURE: ^ If this box is chedced, the landlord iden~tfe~ that the rental unit is in a building 4 uniis w less and tl~e building is in a form <br />of foreclosure. <br />14. SOLID WASTE: If landlord provides garbage service by individual cans, the tenant shall be Umited to one 30 gallon can pidced up weekly, including <br />recycling. The tenant may be billed fw additlonal amounis. The landbrd klentl~ ~at availability of recyding is ~ follows: <br />^ Provided by solid waste hauler; 0 Provided by tlie landlord on-site; t provlded and is the responsibiUty of the benant <br />15. LANDSCAPE MAINTENANCE: 0 Landlord; ^ Tenant shall be r~ponsible to properly cultlvate, care for and ~equately water lawn, shrubbery & grounds. <br />ACCOUNTING <br />6 17• ~~ Land~ad acknowledges that they are a real estate Iicensee and <br />. <br />; <br />A. FUNDS DUE •~ t ~ ~~ "'r '; <br />1. Rent~f~~ro~ted for _ days $ tdentlfles tl~at aH re dable deposits, if any, are held in interest bearfng <br />_ _,~; <br />^ The intarest ~ ~p~id to the statie Low Income Housing Tn~t Fund. <br />2. Non Refundable Fees $ ~ ~+~ ^ The interest being paid as identlfied in an addendum to this contract. <br />3. Refundable Security Deposit $ ~~ 4~ o• #17 ~~P~ffi transferred to and held by the owner: <br />4. Prepald Rent Deposit ~' 1'~ ~ ~ ~~'~ ~ ~ ^' #17 ~Name & address} <br />~ <br />5. Other charges $ ~ <br />6. $ r ~. p~ <br />B. CREDITS RECEIVED .~ <br /> <br />~ i~ 18• ADDENDUM(3) made a part of this agreerr~ent and agreed to by the <br />I dtord and the tenaM: <br />~ <br />1. Reservatlon Deposit $ , ~ <br />ADDITIONAL RULES & REGULA~NS <br />2. Other $ ,y ^ PET/AID ANIMAL; .~er'iNOVE INlOUT INSPECTION; <br />TOTAL AMOUNT DUE $ ~ ~~ ^ SMOKE DETECI'OR; ^ WATER BED <br /> ^ ' <br />' ~ <br />Memo: Second month <br />s rent in the amount of due on p.. <br />19. IN CASE OF EMERGENCY: The tenant may cor~ the landio~! at the.address or ~,hone number given below. In case of errrer~ency, the tandlord may <br />~ <br />' <br />contact the following parties (name, address, phone): •"~;+. , ( ~, ~ t i 1 ti ~ _~ <br />, ~ i ; ,- ~~ ~ t~._ ~ ~ •• ` ~ ~ , <br />1~ ~ L <br />~ :' ~ : <br />20. I(WE) HAV~-fiEAD AND AGR~~-fi0 7HE TERMS AND CONDITIONS OF THIS RENTAL AGREEMENT AND ALL RULES AND REGULATIONS <br />~ <br />USTED ON:'FTiE REVERSE Sll~: <br />TENANT (x) i` ~ ~ ;.~:. , ~x~ <br />7 <br />~X) ~X~ <br />21. NAME/ADDRESS OF LANDLORD or AGENT auttwrized to act for or on behalf of the owner for the purpose of rece ing nqtlojes~ ~~ ~~~ <br />1~ ~ <br />. ~ ~ ~~ ~ l~ <br />n~ cn~ Payabie co: < ~`` ~ , : ~ r.~~~ ~ ~ _ ~ ~ ~,~ ~ <br />If other than "Address ofLandlord," make pay " ~ ~' ~ ~ ~'~ ~ ~~ ~ ~ ~ ~ <br />Signature of LandloM or Agent """'` <br />22. If appUcable, Real Eshate Broker approval: Date: <br />m MFHCO REV. 9/95 ALL MULTIFAMILY FORMS ARE COPYRIGHTED AND CANNOT BE CO IED <br />y~~R Warning: No portion of this form may be reprkl~l witliout the writte~ permissfon of e MFHCO. <br />