Notice Of Intention To Impose Claim On Security Deposit

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NOTICE OF INTENTION TO IMPOSE CLAIM
ON SECURITY DEPOSIT
October 14, 2008
(date)
1
Thomas J. Jones and Martha K. Jones
(names of all residents)
2001 Memory Lane, Apartment 531
(Apartment street address & number)
Tampa, Hillsborough County, FL 33617
This is a notice of Landlord’s intention to impose a claim for damages upon your security deposit
as indicated below. It is sent to you as required by Section 83.49(3), Florida Statutes. You are
hereby notified that you must object in writing to this deduction from your security deposit within
15 days from the time you receive this notice or the landlord will be authorized to deduct its
claim from your security deposit. Your objection must be sent to the landlord at the address
shown below.
Trouble Creek Apartments
___/s/Katherine Smith
___
(community name)
(signature)
th
7500 – 56
Street
Katherine Smith,
Manager
(street address)
(name and title)
Tampa, FL 33617
555-1234
(city)
(telephone number)
Amount of Security Deposit
$ 400.00
Interest (if due)
$ 20.00
Total security deposit and interest (if due)
$ 420.00
Less damage and rent due:
May Rent
($ 400.00)
2
Missing Refrigerator
($ 250.00)
Total damages and rent due:
($ 650.00)
Total due to:
[ x ] landlord
($ 230.00)
[ ] tenant
$ ________
Sent certified mail #P818280111 on October 14, 2008.
3
Mailed by:
_/s/ Joe James
_____
(Signature of person who delivered)
1
Include all tenants’ full names and address. Use forwarding address if known. If tenant have different forwarding
addresses, notice should be sent to each address.
2
If there are several itemized charges, you can attach a page with details; put here, for example, “see attached detail of
damage charges” and put the total damage charges on the $ line.
3
This notice must be sent by certified mail (“return receipt requested” recommended) within 30 days after the tenant(s)

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