The Tenant(s) Name(s) of the Tenant(s) The Tenant(s) that are to be receiving their Security Deposit. New Mailing Address Tenant's NEW Mailing Address (optional) Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code This is the address where the funds will be sent. The Landlord Landlord's Name Landlord's Mailing Address Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code The Property What is the Mailing Address of the Property that was Leased? Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code This is the mailing address to the property that was rented by the Tenant(s). Security Deposit What was the Original Security Deposit Amount deposited by the Tenant(s)? $ This is the amount that was originally deposited at the start of the lease agreement. Was the Security Deposit Collecting any Interest? Was the Security Deposit Collecting any Interest? YesNo If the Security Deposit was collecting interest to the benefit of the Landlord, check "No" Total Amount of Interest Accumulated $ This is just the amount of interest Deductions Are there any Deductions to the Security Deposit Amount? Are there any Deductions to the Security Deposit Amount? YesNo If there were repairs needed, if the Tenant(s) did not pay their last month of rent, or if there are any other outstanding balances by the Tenant(s). List the Reasons for Deductions along with the Amount Total Security Deposit Amount What is the Total Amount Due to the Tenant? $ This is the amount after adding any interest and subtracting and deductions to the amount. Date of this Letter Date of this Letter Signature Page Landlord's Signature Clear Please draw your signature. Print Name Next Save Save and finish later