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Landlord Tenant Closing Statement To Reconcile Security Deposit RE-1004CL - Legal Forms

Landlord Tenant Closing Statement To Reconcile Security Deposit Form. This is a Legal Forms form and can be used in Closings Real Estate .
 Fillable word Last Modified 5/7/2009
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LANDLORD TENANT CLOSING STATEMENT Landlord Name: Leased Premises Address: Tenant Information Name(s): Forwarding Address: New Phone: Other Information: Security Deposit Security Deposit Amount Paid: Other Deposits: Rent Credit: Total Credit: Charges to Deposit and Credits Cleaning Charges: Damage Repairs (list): Unpaid Rent: Uncollected Late Charges: Uncollected Interest: Total Charges Amount Due to Tenant: Amount Retained by Landlord: Amount Due Landlord: Comments: Check Enclosed Number: Amount Due Landlord: Signed by Landlord or Representative: Signature: Print Name: Date Delivered or mailed to Tenant: If there is an Amount Due Landlord above, please forward the full amount to Landlord at the following address: American LegalNet, Inc. © Amount:
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