Security Deposit Refund

8/1/2020
Date

Sertell Hollie William Cook

Tenant name(s) Landlord name

9231 Encino Ave. (Rear Bedroom) 9231 Encino Ave.

Street address Street address

Northridge, CA 91325 Northridge, CA 91325

City / State / ZIP City / State / ZIP

1,050.00
The tenant’s security deposit of $ _______________________________ 4 1 20
was received on ____/____/____

for the tenant property listed above.

The landlord surveyed the property after the tenant’s move out and the following deductions were made:

Rent due 0.00

$_________________ (from ___/____/____ to ____/____/____)
Late fees due 0.00
$_________________
Cleaning 0.00
$_________________
Carpets flooring 0.00
$_________________
Painting/walls/ceiling 0.00
$_________________
Windows 0.00
$_________________
Window coverings 0.00
$_________________
Closet Doors
Other______________ 250.00
$_________________
Other_______________ $_________________
Other_______________ $_________________
Other_______________ $_________________
Other_______________ $_________________

Balance due to tenant $ 800.00

Please find payment enclosed or electronically funded to your account.

Landlord signature