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SECURITY DEPOSIT DISPOSITION FORM

HTSPC 0509 Page 1 of 2 SECURITY DEPOSIT DISPOSITION form Date:_____ Vacating Resident Forwarding/Last Known Address Name:_____ _____ Address: _____ _____ Move-Out Date:_____ _____ Dear Former Resident, This letter provides you with a written itemized list of the deductions management is applying against the SECURITY DEPOSIT . You must immediately make arrangements to pay any balance you left owing the property (if applicable). You must leave a forwarding address in order for any portion of the DEPOSIT to be returned. If we do not have a forwarding address, the SECURITY DEPOSIT (if any) will be mailed to the last known address. Was a proper ____ day written notice to vacate given (if applicable)? Yes No Date the landlord was notified that the unit would be becoming vacant.

HTSPC 0509 Page 1 of 2 SECURITY DEPOSIT DISPOSITION FORM Date:_____ Vacating Resident Forwarding/Last Known Address Name:_____ _____ Address: _____ _____

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