SECURITY DEPOSIT RECEIPT
RECEIVED BY
DATE
LANDLORD
TENANT
NAME
NAME
ADDRESS
ADDRESS
PHONE
PHONE
EMAIL
EMAIL
LEASE DESCRIPTION
Tenant has paid Landlord $ ________________ which Landlord holds as a security deposit for Tenant’s
performance of all the terms of this lease. The security Landlord holds as a security deposit for Tenant’s
performance of all the terms of the lease. The security deposit must be deposited at the following financial
institution and may be mingled with the security deposits of Landlord’s other tenants:
The security deposit will be refunded to the Tenant under lease terms when due if lease terms are met.
LANDLORD
NAME
SIGNATURE
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signature
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