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Security Deposit Checklist

Security Deposit Checklist

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Published by Derrick Ruiz

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Categories:Types, Business/Law
Published by: Derrick Ruiz on Aug 29, 2011
Copyright:Attribution Non-commercial

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08/26/2015

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Security Deposit Itemization Form

To:___________________________________________________________
Property Address:________________________________________________
Amount of all deposits being held: $____________
LESS THE FOLLOWING ITEMS:
Amount of any rent owed through the day the tenant vacated: $____________
Amount of all future rent owed under the lease agreement $____________
(this may be adjusted downwards if premises are re-rented)
Other items owed pursuant to the lease agreement: $____________
please describe:
___________________________ $_____________
___________________________ $_____________
___________________________ $_____________
Unusual wear and tear to the premises: $____________
please itemize
___________________________ $_____________
___________________________ $_____________
___________________________ $_____________

Reasonable Cleaning Charges $____________
Total of Deductions $____________
Balance owed to Tenant $____________
(or)
Balance owed to Landlord $____________
_______________________________________ Date_________________
Landlord/Agent/Owner
If no forwarding address, mail to your vacated unit. If you are deducting $125 or more,
it is necessary to include receipts or estimates.
This form has been created by:
The Law Firm of Dennis P. Block & Associates 323 938-2868

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