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SECURITY DEPOSIT REFUND

AOA Form No. 133 (Rev. 07/14) - Copyright 2007 - Apartment Owners Association of California, Inc. - San Fernando Valley (818)988----6000 San Diego (619)280-7007 Northern California (510)769-7521 SECURITY DEPOSIT REFUND To: _____ For Premises Located at: _____ Apt.:_____ City: _____ Zip: _____ SECURITY DEPOSIT .. $ _____ INTEREST ON DEPOSIT @ _____ % .. $ _____ TOTAL SECURITY DEPOSIT .. $ _____ Rent Due From _____ to _____$ _____ Late Fees Due .. $ _____ CIeaning .. $ _____ Carpets .. $ _____ Painting .. $ _____ Blinds/Window Coverings .. $ _____ Other: _____ _____$ _____ TOTAL CHARGES .. $ _____ BALANCE DUE OWNER .. $ _____ BALANCE DUE RESIDENT .. $ _____ Please remit your check for balance due, if any, to: Name: _____ Address: _____ City, State, Zip: _____ Pursuant to Civil Code , Owner, on the _____ day of_____, 20_____ hereby furnished the above statement of SECURITY DEPOSIT disposition of monies to former residents.

AOA Form No. 133 (Rev. 07/14) - Copyright 2007 - Apartment Owners Association of California, Inc. - www.aoausa.com San Fernando Valley (818)988- - - -6000 San Diego (619)280-7007 Northern California (510)769-7521

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Transcription of SECURITY DEPOSIT REFUND

1 AOA Form No. 133 (Rev. 07/14) - Copyright 2007 - Apartment Owners Association of California, Inc. - San Fernando Valley (818)988----6000 San Diego (619)280-7007 Northern California (510)769-7521 SECURITY DEPOSIT REFUND To: _____ For Premises Located at: _____ Apt.:_____ City: _____ Zip: _____ SECURITY DEPOSIT .. $ _____ INTEREST ON DEPOSIT @ _____ % .. $ _____ TOTAL SECURITY DEPOSIT .. $ _____ Rent Due From _____ to _____$ _____ Late Fees Due .. $ _____ CIeaning .. $ _____ Carpets .. $ _____ Painting .. $ _____ Blinds/Window Coverings .. $ _____ Other: _____ _____$ _____ TOTAL CHARGES .. $ _____ BALANCE DUE OWNER .. $ _____ BALANCE DUE RESIDENT .. $ _____ Please remit your check for balance due, if any, to: Name: _____ Address: _____ City, State, Zip: _____ Pursuant to Civil Code , Owner, on the _____ day of_____, 20_____ hereby furnished the above statement of SECURITY DEPOSIT disposition of monies to former residents.

2 Owner/Agent _____ Date _____


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