| Total
Amount of Security Deposit Received |
$ __________ |
| - |
|
| Itemized
List of Repairs for Property Damages |
|
| _____________________________________________ |
$ __________ |
| _____________________________________________ |
$ __________ |
| _____________________________________________ |
$ __________ |
| _____________________________________________ |
$ __________ |
| _____________________________________________ |
$ __________ |
| _____________________________________________ |
$ __________ |
| -
|
|
| Itemized
List of Required Cleaning Expenses |
|
| _____________________________________________ |
$ __________ |
| _____________________________________________ |
$ __________ |
| _____________________________________________ |
$ __________ |
| - |
|
| Total
Security Deposit Deduction |
$ __________ |
| - |
|
| Remaining
Amount of Security Deposit to be Returned |
$ __________ |