Security Deposit Itemization Form Pursuant To Civil Code Section 1950.5

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SECURITY DEPOSIT ITEMIZATION PURSUANT TO CIVIL CODE SECTION 1950.5
FROM:
____________________________
DATE: ________________________
____________________________
____________________________
TO:
___________________________
___________________________
___________________________
ADDRESS OF PROPERTY: ________________________________________________________________
DATE VACATED:
__________________________
SECUTURITY DEPOSIT RECEIVED:
$__________________
MINUS ITEMIZED REPAIRS AND CLEANING COSTS
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
$__________________
BALANCE OF SECURITY DEPOSIT:
$__________________
MINUS UNPAID RENT DUE:
____________________________________________________________
$_________________
[ ] OWNER OWES TENANT:
$_________________
CHECK IS ENCLOSED
[ ] TENANT OWES OWNER
THIS AMOUNT IS DUE NOW. PLEASE SEND TO THE OWNER
AT THE ABOVE ADDRESS. IF NOT RECEIVED WITHIN TEN
DAYS, APPROPRIATE LEGAL ACTION WILL BE TAKEN TO
COLLECT THE JUDGEMENT.
Civil Code Sections 1950.5(b)(1)-(4) (as of January 1, 2011
(b) As used in this section, "security"; means any payment, fee, deposit or charge, including, but not limited to, any payment, fee,
deposit, or charge, except as provided in Section 1950.6, that is imposed at the beginning of the tenancy to be used to reimburse the
landlord for costs associated with processing a new tenant or that is imposed as an advance payment of rent, used or to be used for
any purpose, including, but not limited to, any of the following:
(1) The compensation of a landlord for a tenant's default in the payment of rent.
(2) The repair of damages to the premises, exclusive of ordinary wear and tear, caused by the tenant or by a guest or licensee of the
tenant.
(3) The cleaning of the premises upon termination of the tenancy necessary to return the unit to the same level of cleanliness it was
in at the inception of the tenancy. The amendments to this paragraph enacted by the act adding this sentence shall apply only to
tenancies for which the tenant's right to occupy begins after January 1, 2003.
(4) To remedy future defaults by the tenant in any obligation under the rental agreement to restore, replace, or return personal
property or appurtenances, exclusive of ordinary wear and tear, if the security deposit is authorized to be applied thereto by the rental
agreement.

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