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Receipt for Security Deposit Page 1 of 1
Receipt for Security Deposit
is receipt establishes that ,
Landlord (or , acting as an authorized
agent for , Landlord),
has received from , Tenant,
a security deposit in the amount of
on (date).
is deposit secures Tenant’s legal obligations with respect to Tenant’s renting the property at
.
Landlord’s or landlord’s agent signature Date
Print title (owner or manager)
Print name Phone
Email
Tenants signature Date
Print name Phone
Email


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