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STATEMENT OF SECURITY DEPOSIT ACCOUNTING Apt. No. Tenant Name s Address Property Name City State/Zip Property No. Move-in Date Move-out Date / Occupancy Years 30 Day Notice Served On Rent Paid To Date Re-Rented Checklist of Rental/Apartment Cleaning To Tenant On 1. DEPOSIT S - REFUNDABLE Security/Cleaning Key Furniture Pet Other Months 4. Rent in Default/Due Period from to ot TOTAL PAID. 2. Necessary Cleaning Charges On Move-Out Interior Cleaning Carpet Shampooing Drapery Dry Cleaning 3. Necessary Painting Repairs and Replacement On Move-Out Painting Repairs and Replacement 5. Other Charges Due Under the Rental/Lease Contract 6. Legal/Eviction Costs deduct last Attorney Fees/Costs TOTAL CHARGES*. SUMMARY ACCOUNTING Total Refundable Deposit s Total Charges Refund Due Resident or Amount Due Owner DATE Owner/Agent CC Copyright 1999 www. landlord. com Send Refund to Former Resident s Send Balance Due to Owner Name City/State depform*pdf. DEPOSIT S - REFUNDABLE Security/Cleaning Key Furniture Pet Other Months 4. Rent in Default/Due Period from to ot TOTAL PAID. 2. Necessary Cleaning Charges On Move-Out Interior Cleaning Carpet Shampooing Drapery Dry Cleaning 3. 2. Necessary Cleaning Charges On Move-Out Interior Cleaning Carpet Shampooing Drapery Dry Cleaning 3. Necessary Painting Repairs and Replacement On Move-Out Painting Repairs and Replacement 5. Other Charges Due Under the Rental/Lease Contract 6. Necessary Painting Repairs and Replacement On Move-Out Painting Repairs and Replacement 5. Other Charges Due Under the Rental/Lease Contract 6. Legal/Eviction Costs deduct last Attorney Fees/Costs TOTAL CHARGES*. SUMMARY ACCOUNTING Total Refundable Deposit s Total Charges Refund Due Resident or Amount Due Owner DATE Owner/Agent CC Copyright 1999 www. Legal/Eviction Costs deduct last Attorney Fees/Costs TOTAL CHARGES*. SUMMARY ACCOUNTING Total Refundable Deposit s Total Charges Refund Due Resident or Amount Due Owner DATE Owner/Agent CC Copyright 1999 www. landlord. com Send Refund to Former Resident s Send Balance Due to Owner Name City/State depform*pdf. DEPOSIT S - REFUNDABLE Security/Cleaning Key Furniture Pet Other Months 4. Rent in Default/Due Period from to ot TOTAL PAID. 2. Necessary Cleaning Charges On Move-Out Interior Cleaning Carpet Shampooing Drapery Dry Cleaning 3. Necessary Painting Repairs and Replacement On Move-Out Painting Repairs and Replacement 5. Other Charges Due Under the Rental/Lease Contract 6. 2. Necessary Cleaning Charges On Move-Out Interior Cleaning Carpet Shampooing Drapery Dry Cleaning 3. Necessary Painting Repairs and Replacement On Move-Out Painting Repairs and Replacement 5. Other Charges Due Under the Rental/Lease Contract 6. Legal/Eviction Costs deduct last Attorney Fees/Costs TOTAL CHARGES*. SUMMARY ACCOUNTING Total Refundable Deposit s Total Charges Refund Due Resident or Amount Due Owner DATE Owner/Agent CC Copyright 1999 www. Necessary Painting Repairs and Replacement On Move-Out Painting Repairs and Replacement 5. Other Charges Due Under the Rental/Lease Contract 6. Legal/Eviction Costs deduct last Attorney Fees/Costs TOTAL CHARGES*. SUMMARY ACCOUNTING Total Refundable Deposit s Total Charges Refund Due Resident or Amount Due Owner DATE Owner/Agent CC Copyright 1999 www. landlord. com Send Refund to Former Resident s Send Balance Due to Owner Name City/State depform*pdf. .

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