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1900 SW 4th Avenue, Suite 7007, Portland, OR 97201
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1900 SW 4th Avenue, Suite 7007
Portland, OR 97201
Please provide information on the ownership structure of the Dwelling Unit for which you paid a Relocation Assistance Payment.
Please provide the basis on which you made the Relocation Assistance Payment.
Please provide the bedroom count of the unit.
I hereby certify that the above information, to the best of my knowledge is true and complete. I understand that I must inform the Portland Housing Bureau immediately and in writing of any changes. I understand that a Landlord that fails to comply with any of the requirements set forth in PCC 30.01.085 shall be liable to the Tenant for an amount up to 3 times the monthly Rent as well as actual damages, Relocation Assistance, reasonable attorney fees and costs.