Security Deposit Receipt

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Security Deposit Receipt
Date __________________________
Landlord
Tenant
Address
Address
Name
Name
Phone
Phone
Description of Lease
The Landlord acknowledges receipt of the sum of $_____________________ paid by the Tenant under the lease
described above.
This Security Deposit payment will be held by the Landlord under the terms of this lease, and unless required by
law, will not bear any interest. This Security Deposit will be repaid when due under the terms of the lease.
Signature of Landlord
By:
Name of Landlord

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