Deposit Transfer Form

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Apartments Near Campus
Unit # ___________________________
318 E. Burlington Street
Iowa City, IA 52240
Address & Apt # __________________________
DEPOSIT TRANSFER FORM
As of the ___________ day of ____________________________, _____________,
the Security Deposit in the amount of $_________________________ for apartment
# ________ at _______________________________________ is being transferred
from the original deposit holder __________________________________ to a new
deposit holder:
______________________________________________
Name (New Deposit Holder):
Permanent Address: ______________________________________________
City, State, Zip: ______________________________________________
This deposit transfer is recognized by ALL the original tenants and by the new
tenants (whose signatures appear below). Damages existing in the apartment/house
transfer with the deposit.
If damages exist, it is the tenant’s responsibility to
request the repairs and/or assessment of those damages. If the new tenants are
billed for those damages, it is up to the new deposit holder/tenants to collect any
money owed for such damage from the original tenants.
ORIGINAL TENANTS
NEW TENANTS
ORIGINAL DEPOSIT HOLDER
NEW DEOSIT HOLDER
Signature
Date
Signature
Date
___________________________________________
Landlord
Date

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