Property Address:
Tenant Name:
Landlord/Manager:
| Item | Details |
|---|---|
| Security Deposit Amount | $ |
| Date Paid | |
| Payment Method | ☐ Check ☐ Cash ☐ Money Order ☐ Other |
| Receipt Received | ☐ Yes ☐ No |
| Receipt Number |
☐ Move-in inspection completed (Date: )
☐ Photos taken of property condition
☐ Inspection checklist signed by both parties
☐ Pre-existing damage documented
| Date | Issue/Damage Reported | Landlord Response |
|---|---|---|
Move-Out Date:
Notice Given to Landlord:
☐ Final walk-through completed
☐ Property cleaned thoroughly
☐ All keys returned
☐ Forwarding address provided:
Date Deposit Should Be Returned:
Amount Returned: $
Deductions Claimed: $
Reason for Deductions:
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