Security Deposit Return Form

Purpose: This form is used by landlords or property managers to itemize and document the return of a tenant’s security deposit after the termination of a lease. It includes deductions, refund amount, and signatures from involved parties.

Tenant and Property Information

Tenant Name: {tenantName}

Property Address: {propertyAddress}

Move-in Date: {moveInDate}

Move-out Date: {moveOutDate}

Security Deposit Details

Original Deposit Amount: ${originalDeposit}

Deductions Made:

{#deductions}

• Reason: {reason}
  Amount: ${amount}

{/deductions}

Total Deductions: ${totalDeductions}

Refund Amount: ${refundAmount}

Itemized Deductions (if applicable)

Forwarding Address

Address for Deposit Return: {forwardingAddress}

Notes

{additionalNotes}

Signatures

Landlord/Manager Name: {landlordName}

Signature: _________________________

Date: {landlordSignDate}

Tenant Name: {tenantName}

Signature: _________________________

Date: {tenantSignDate}