Security Deposit Remittance & Refund Form

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La Mirage Homeowners Association, Inc
SECURITY DEPOSIT REMITTANCE & REFUND
PART 1: REMITTANCE
A Security deposit for ONE THOUSAND DOLLARS 0/100 MUST be paid BY
THE UNIT OWNER
Made Payable to: La Mirage HOA- In the form of a business check or Cashier’s check. Please make sure to
specify the unit number and verbiage “Security Deposit” on the face of the check. I.e. Memo: Unit 3001
Security Deposit
Mail to:
On Call Management, LLC
Attn: Applications Dept
4502 Inverrary Blvd Lauderhill, FL 33319
Please complete PART 1, the “Remittance” portion of the “Security Deposit Remittance/Refund Form”
and keep a copy of the security deposit payment cashed proof (image front and back) for future
reference when/should your tenant move out of the community and request your refund.
SECURITY DEPOSITS ARE NOT TRANSFERABLE.
A NEW SECURITY DEPOSIT MUST BE MADE FOR EVERY NEW TENANT
MOVING INTO THE UNIT.
PART 2: REFUND
Please complete PART 2 on the “Security Deposit Remittance/Refund Form”, part 2 is the “Refund”
portion of the same form you originally completed for the “remittance” as instructed above. At this point in
time you will need to include proof of the deposit being submitted and cashed (image front and back).
After the form is submitted a check will be processed. Before the check can be released, please make sure
you are in compliance of the following inspection key points:
1. No running toilets, dripping faucets or showerheads
2. Smoke detectors are installed and functioning properly
3. At least 1 functioning fire extinguisher in the unit
4. No leaks or water around the a/c and water heater
Please submit “Security Deposit Remittance/Refund Form” AND proof of the deposit being submitted
and cashed (image front and back). via e-mail to:
PLEASE ALLOW UP TO 30 BUSINESS DAYS FOR THIS PROCESS TO BE COMPLETED.
THANK YOU FOR YOUR COOPERATION

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