Move-Out Security Deposit Refund Checklist
Tenant Name(s):
Property Address:
Move-Out Date:
Forwarding Address:
Item/Area
Condition on Move-Out
Deduction?
Amount Deducted
Notes
Walls/Paint
Floors/Carpet
Appliances
Kitchen
Bathrooms
Windows/Doors
Yard/Exterior
Other
Total Security Deposit Paid:
Total Deductions:
Refund Amount:
Additional Notes:
Landlord/Manager Signature & Date
Tenant Signature & Date