Security Deposit Receipt

Received from: _________
In the amount of $_________
As security deposit for
Address: __________________________________
City: ___________ State: ______ Zip code: ______

The landlord hereby acknowledges the receipt of a security deposit from the tenant under the lease described above.

Tenant Name: ________
Tenant Signature ______________
Landlord Name: ____________
Landlord Signature ______________
Date: _________

Please be aware that these sample letters and forms may have legal and financial implications. Please consult with your own legal advisor if you have any questions or concerns regarding the use of any of these letters and forms.