Receipt for Lease Security Deposit
Date __________________________
Landlord Tenant
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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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