Security Deposit Release Form

SECURITY   D EPOSIT   R ELEASE   F ORM  

 

We    

______________________________  

_______________________________  

 

 

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(Tenants   r eleasing   s ecurity   d eposit)  

 

authorize   _ ___________________________________________   t o   r elease   o ur   S ecurity   D eposit   R efund    

 

 

 

 

(Building   N ame)  

 

for   o ur   A partment   # ______located   a t   _ ___________________________________________________  

 

to   _ ________________________________________________________________________________  

(Payee)  

 

and   m ail   i t   t o   t he   f ollowing   a ddress_______________________________________________________  

 

 

Signed   t his   _ _________________________   d ay   o f   _ ______________________,   _ ______________  

 

 

 

__________________________________________  

______________________________________  

 

 

(Tenant   S ignature)  

 

 

 

 

(Tenant   S ignature)  

 

 

__________________________________________  

______________________________________  

 

 

(Tenant   S ignature)  

 

 

 

 

(Tenant   S ignature)  

 

 

__________________________________________  

______________________________________  

 

 

(Tenant   S ignature)  

 

 

 

 

(Tenant   S ignature)  

 

 

__________________________________________  

______________________________________  

 

 

(Tenant   S ignature)  

 

 

 

 

(Tenant   S ignature)  

 

 

PLEASE   N OTE:  

If   a ll   t enants   l isted   o n   t he   L ease   a greement   d o   n ot   s ign   t his   f orm,   t he   s ecurity   d eposit   c heck   w ill  

be  made  payable  in  all  tenants  name  listed  on  the  original  Lease  Agreement.  No  checks  will  be  

mailed  in  the  absence  of  a  forwarding  address;  instead  a  copy  of  the  Move-­‐Out  Statement  will  

be  mailed  to  the  rental  address  with  a  request  for  a  forwarding  address  within  21  days  of  the  

vacate   d ate.