SECURITY DEPOSIT ITEMIZATION

(Deduction for Repairs, Cleaning and Unpaid Rent)

Civil Code Section 1950.5

Date:

From:

To:

Property Address:

Rental Period:

1. Security Deposit Received: $

2. Any Other Additions to Security Deposit: $

3. Total Credit (sum of lines 1 and 2): $

4. Itemized Repairs and Related Losses:

Total Repair Cost: $

5. Necessary Cleaning:

Total Cleaning Cost: $

6. Defaults in Rent Not Covered by any Court Judgment

(list dates and rates):

Total Rent Defaults: $

7. Amount of Court Judgment for Rent, Cost, Attorney Fees:

Total Court/Attorney Fees: $

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