Complete Your Custom ORHA Rental Form

Please Note: Some fields on this form must be filled in after printing

FORM #3:

Tenant Names: 
Address: Unit:
City: , OREGON , ZIP:

Additional Charges

Additional Security Deposit for Keeping Pet(s) $
Additional Rent Per Month for Keeping Pet(s) $

Description of Pet(s)

1) Type/Breed Size Age Weight
Color Name License Number:
Spayed/Neutered: __ Yes __ No Vaccinations: __ Yes __ No
2) Type/Breed Size Age Weight
Color Name License Number:
Spayed/Neutered: __ Yes __ No Vaccinations: __ Yes __ No

___ Tenant must attach photos of pet(s):


Owner/Agent and Tenant(s) agree the above pet(s) are the only pet(s) allowed on the premises. Tenant(s) agree to the following terms and conditions:

  1. The pet(s) shall be on a leash or otherwise under Tenant(s) control when it is outside the Tenant’s dwelling unit.
  2. Failure to comply with the terms of this agreement shall give the Owner/Agent the right to revoke permission to keep the pet(s).
  3. Pet(s) shall not cause any sort of nuisance or disturbance to the neighbors. Tenant(s) will immediately report to Owner/Agent any damage by pet to persons or property. Tenant(s) represent and warrant that pet(s) have not previously damaged persons or property.
  4. If Tenant(s) pet(s) defecates on any portion of the premises not under the tenant’s exclusive control, tenant agrees immediately to remove waste. Owner/Agent may assess a fee of $50.00 per occurrence.
  5. All pet waste must be removed from all portions of rented premises at least weekly. No pet waste including cat litter box waste may be flushed down toilets.
  6. __ If checked, Tenant(s) must provide proof of liability insurance covering the pet(s) and shall make the Owner/Agent a co-insured for purposes of notification in case of cancellation.
  7. __ If checked, pets must be neutered or spayed.
  8. __ If checked, pets must be properly vaccinated.
  9. If items (7) or (8) are checked, Tenant(s) agree to provide proof of current vaccination and certification of spaying or neutering upon request of Owner/Agent.
  10. Tenant(s) may not replace a pet without written permission of Owner/Agent.
  11. This agreement becomes part of the Rental Agreement previously executed between the parties.