NOTICE OF INTENTION TO IMPOSE CLAIM ON SECURITY DEPOSIT
TO:___________________________________
Tenant’s Name
____________________________________
Address
____________________________________
City, State, Zip Code
Date:___________________________________
This is a notice of my intention to impose a claim for damages in the amount of $____________
upon your security deposit due to __________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________.
It is sent to you as required by 83.49(3), Florida Statutes. You are hereby notified that you must
object in writing to this deduction from your security deposit within 15 days from the time you
receive this notice, or I will be authorized to deduct my claim from your security deposit. Your
objection must be sent to:
_________________________________________
Landlord’s Name
_________________________________________
Address
_________________________________________
City, State, Zip Code