Security Deposit Receipt
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1RECEIPT
SECURITY DEPOSIT
THIS IS NOT A RENTAL RECEIPT
DATE:
RECEIVED FROM: __________________________ $__________________ [ ] CHECK [ ] M.O
AS SECURITY DEPOSIT FOR THE PROPERTY AT
______________________________________APT. NO_________
CITY OF
_______________ STATE OF LOUISIANA ZIP ________________________
BALANCE OF DEPOSIT $
DUE ON OR BEFORE __________________________________
Undersigned agrees that this security deposit may not be applied as rent and that the full monthly rent will be
paid on or before the first day of every month including the last month of occupancy.
RETURN OF SECURITY DEPOSIT IS SUBJECT TO THE FOLLOWING PROVISIONS.
1. Full term of Lease has expired.
2. Written notice to vacate is given to Agent or Lessor at least thirty (30) days prior to the end of a lease term.
3. No damage to property, beyond normal wear and tear.
4. Entire apartment, including range, exhaust fan, refrigerator, bathroom, closets and cabinets are clean.
5. No stickers or scratches or holes on walls. Eight small nail holes permitted. All burned out light bulbs to be replaced.
6. No damage to carpet beyond normal wear and tear and carpet must be professionally shampooed before vacating.
7. No unpaid late charges or delinquent rents.
8. All keys and remote controls are returned on or prior to end of lease term.
9. All debris, high grass and rubbish and discards removed from property.
10. Forwarding address left with management.
11. All terms of the lease are complied with.
12. In the event the lease agreement is broken, no portion of the deposit will be refunded.
The costs of labor and materials for cleaning and repairs, and delinquent payments will be deducted from
security deposit if the above 12 provisions are not complied with. Any security deposit refunded will be mailed
to Lessee(s) to the forwarding address provided within thirty (30) days of vacating. Check will be made payable
to all lessees named on the Lease.
This lease is made with the understanding that it is subject to execution by Agent or Lessor.
____________________________________________
_____________________________________________
Lessee
Date
Lessee
Date
Subject to the conditions listed above, this security deposit will be returned to lessee.
_____________________________________________
________________________________________________
Lessor/Agent
Date
Lessor / Agent
Date
Sh/office forms/leasing/New Tenant Docs
Rev. 05/29/2015
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