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Security Deposit Itemization & Refund Form

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Make security deposit deductions clear, organized, and professional with this printable Security Deposit Itemization & Refund Form.


This form is designed for landlords, property managers, and rental property owners who need a simple way to document deductions from a tenant’s security deposit after move-out.


Use it to list damages, cleaning charges, unpaid rent, repair costs, evidence/photo references, total deductions, original deposit amount, and refund due.


What’s included:


• Tenant and property details section

• Original security deposit amount

• Date deposit was received

• Itemized deduction table

• Description of damage, cleaning, unpaid rent, or repair charges

• Amount column for each deduction

• Evidence/photo reference column

• Total deduction summary

• Refund due calculation section

• Additional notes/explanation section

• Landlord/property manager certification

• Tenant acknowledgment section

• Signature lines for records

• Professional disclaimer


This template helps create a clear paper trail and makes it easier to explain security deposit deductions in writing. It is useful for move-out records, landlord files, tenant communication, and rental property documentation.


Perfect for:


• Landlords

• Property managers

• Real estate investors

• Rental property owners

• Room rental situations

• Small landlords managing their own paperwork


This is a digital download. Print as many copies as needed for personal or business use.


Important: This is a general template only and is not legal advice. Security deposit laws vary by state, city, and local jurisdiction. Always check your local laws or consult a qualified attorney before using any rental-related form.

You will get a PDF (7KB) file