SECURITY DEPOSIT RETURN LETTER & ITEMIZED DEDUCTIONS ================================================================ Effective Date: ________________________________________________________ Place: _________________________________________________________________ ================================================================ 1. Parties ---------- This document is made on ____________________ (____________________) by: Landlord Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ Addressed to: Tenant Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ 2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS ------------------------------------------- Rented Property Address: _______________________________________________ Date the Tenancy Ended: ________________________________________________ Deposit Held: __________________________________________________________ Itemized Deductions and Reasons: ____________________________________________________________________ Amount Being Returned: _________________________________________________ Return Method and Date: ________________________________________________ 3. EXECUTION & SIGNATURES ------------------------- Landlord Signature: _____________________________________________________________ Full Legal Name: _______________________________________________________ Date: __________________________________________________________________