Security Deposit Itemization Statement
SECURITY-DEPOSIT ACCOUNTING AND STATEMENT PREPARATION PACKET
Important Use Gate
DO NOT SEND OR FILE THIS PACKET. It does not return a deposit, itemize a deduction, demand a balance, establish delivery, waive a claim, or satisfy a deadline.
Complete the current-law control sheet before calculating any date or withholding any amount. Transfer only verified facts and counsel-approved language to the outgoing letter.
1. Matter Control
| Item | Entry |
|---|---|
| Landlord or deposit holder | [________________________________] |
| Tenant or tenants | [________________________________] |
| Premises | [________________________________] |
| Prepared by | [________________________________] |
| Preparation date | [__/__/____] |
| Reviewing housing attorney | [________________________________] |
| Attorney contact | [________________________________] |
| Matter or tenancy number | [________________________________] |
| Proposed send date | [__/__/____] |
| Packet status | [INTAKE / ACCOUNTING / COUNSEL REVIEW / READY FOR TRANSFER / HOLD] |
2. Tenancy and Deposit Classification
| Question | Facts and evidence | Current authority or lease term | Counsel conclusion |
|---|---|---|---|
| Residential or other tenancy | [________] | [________] | [________] |
| Property type and unit | [________] | [________] | [________] |
| Landlord, owner, manager, and deposit holder | [________] | [________] | [________] |
| Tenant names and liable parties | [________] | [________] | [________] |
| Written lease or other agreement | [________] | [________] | [________] |
| Deposit, prepaid rent, fee, or other payment classification | [________] | [________] | [________] |
| Government, subsidized, institutional, mobile-home, seasonal, short-term, or other special overlay | [________] | [________] | [________] |
| Local ordinance or program | [________] | [________] | [________] |
| Transfer of ownership or management | [________] | [________] | [________] |
| Pending eviction, bankruptcy, receivership, foreclosure, or court order | [________] | [________] | [________] |
3. Current-Law Control Sheet
Do not copy a date, deduction, notice, or remedy from another state or an older letter.
| Control question | Verified answer | Current primary authority or official instruction | Checked on |
|---|---|---|---|
| Event that starts the accounting period | [________________________________] | [________________________________] | [__/__/____] |
| Required return or itemization period | [________________________________] | [________________________________] | [__/__/____] |
| Calendar, business-day, weekend, holiday, or receipt rule | [________________________________] | [________________________________] | [__/__/____] |
| Earliest and latest possible trigger date | [________________________________] | [________________________________] | [__/__/____] |
| Permitted deduction categories | [________________________________] | [________________________________] | [__/__/____] |
| Ordinary wear or other exclusion | [________________________________] | [________________________________] | [__/__/____] |
| Estimate, invoice, receipt, photograph, or ledger requirement | [________________________________] | [________________________________] | [__/__/____] |
| Interest or earnings treatment | [________________________________] | [________________________________] | [__/__/____] |
| Required letter contents | [________________________________] | [________________________________] | [__/__/____] |
| Required signer or certification | [________________________________] | [________________________________] | [__/__/____] |
| Permitted delivery method and address | [________________________________] | [________________________________] | [__/__/____] |
| Treatment of unknown forwarding address | [________________________________] | [________________________________] | [__/__/____] |
| Tenant dispute, demand, or cure route | [________________________________] | [________________________________] | [__/__/____] |
| Landlord collection route for an excess balance | [________________________________] | [________________________________] | [__/__/____] |
| Damages, penalties, fees, costs, or forfeiture | [________________________________] | [________________________________] | [__/__/____] |
| Court or agency route | [________________________________] | [________________________________] | [__/__/____] |
4. Possession and Trigger Chronology
| Date and time | Event | Person involved | Source record | Legal significance determined by counsel |
|---|---|---|---|---|
| [________] | Lease notice given or received | [________] | [________] | [________] |
| [________] | Lease term ended | [________] | [________] | [________] |
| [________] | Keys or access devices returned | [________] | [________] | [________] |
| [________] | Tenant vacated or property appeared vacant | [________] | [________] | [________] |
| [________] | Landlord accepted or recovered possession | [________] | [________] | [________] |
| [________] | Final inspection | [________] | [________] | [________] |
| [________] | Forwarding address supplied | [________] | [________] | [________] |
| [________] | Other | [________] | [________] | [________] |
Counsel-approved triggering event and date: [________________________________]
Calculated send or delivery deadline: [__/__/____] at [TIME / TIME ZONE]
Second-person calendar check: [NAME / DATE]
5. Deposit Receipt and Transfer Ledger
| Date | Payment or transfer | Amount | Payor | Recipient or holder | Account or receipt | Classification |
|---|---|---|---|---|---|---|
| [________] | [________] | $[____] | [________] | [________] | [________] | [________] |
| Accounting item | Amount |
|---|---|
| Deposit classified for this accounting | $[________] |
| Required interest or earnings, if any | $[________] |
| Prior authorized application or refund | $[________] |
| Starting amount to account for | $[________] |
6. Condition and Evidence Record
| Area or item | Move-in condition and evidence | Move-out condition and evidence | Claimed change | Cause evidence | Ordinary-wear review |
|---|---|---|---|---|---|
| [________] | [________] | [________] | [________] | [________] | [________] |
Evidence sources:
☐ Move-in report or checklist
☐ Move-in photographs or video
☐ Move-out inspection notes
☐ Dated move-out photographs or video
☐ Lease, addenda, rules, and amendments
☐ Rent and payment ledger
☐ Utility or third-party statement
☐ Vendor estimate, invoice, receipt, or proof of payment
☐ Communications and repair requests
☐ Ownership or management transfer records
☐ Other: [________________________________]
7. Deduction Review Register
Each proposed deduction needs a current legal basis, a lease or other factual basis where relevant, a reasonable calculation, and supporting records. Do not use a generic “other lawful charge” line.
| Proposed deduction | Current authority | Lease or factual basis | Calculation | Supporting documents | Exclusion or dispute | Include? |
|---|---|---|---|---|---|---|
| [________] | [________] | [________] | $[____] | [________] | [________] | ☐ |
Deduction Controls
☐ Each item is separated rather than grouped into a lump sum.
☐ Dates, locations, quantities, rates, labor, materials, taxes, and credits are shown.
☐ Betterment, depreciation, useful life, preexisting condition, ordinary wear, landlord duty, insurance, and third-party recovery were reviewed.
☐ An estimate is identified as an estimate and any later-document duty is separately calendared.
☐ No collection fee, attorney fee, penalty, late charge, future rent, acceleration, or tenant balance is included without current authority and supporting facts.
8. Accounting Calculation
| Line | Description | Amount |
|---|---|---|
| 1 | Starting amount from Section 5 | $[________] |
| 2 | Total counsel-approved deductions | − $[________] |
| 3 | Other required credit or adjustment | +/− $[________] |
| 4 | Amount to return to tenant | $[________] |
| 5 | Potential balance beyond deposit, if separately supported | $[________] |
Calculation checked by: [NAME / DATE]
Payment instrument or method: [________________________________]
Payee name or names: [________________________________]
9. Draft Itemization Letter
[LANDLORD OR AGENT LETTERHEAD]
[DATE]
Via [COUNSEL-APPROVED DELIVERY METHOD]
[TENANT NAME OR NAMES]
[DELIVERY ADDRESS]
Re: [PREMISES / TENANCY / ACCOUNT REFERENCE]
Dear [TENANT NAME OR NAMES]:
This letter provides the security-deposit accounting for [PREMISES] based on the tenancy and possession information reviewed through [DATE].
Deposit Accounting
| Item | Amount |
|---|---|
| Starting deposit amount and any required adjustment | $[________] |
| Total deductions described below | − $[________] |
| Amount enclosed or returned | $[________] |
Itemized Deductions
| Date or period | Specific reason and location | Calculation | Amount | Supporting document enclosed |
|---|---|---|---|---|
| [________] | [________] | [________] | $[____] | [________] |
The enclosed materials are: [LIST PAYMENT, LEDGER, PHOTOGRAPHS, ESTIMATES, INVOICES, RECEIPTS, OR OTHER RECORDS].
Questions or supporting information may be sent to [CONTACT / METHOD]. This contact information does not create or shorten any independently applicable legal period.
Sincerely,
[LANDLORD / AUTHORIZED AGENT NAME AND CAPACITY]
10. Optional Separate Balance Communication
Do not turn the itemization into an automatic collection demand. If the reviewed accounting indicates a balance beyond the deposit, counsel should determine whether, when, and how a separate demand may be sent.
| Control | Verified answer |
|---|---|
| Legal and contractual basis | [________________________________] |
| Amount and calculation | [________________________________] |
| Required notice or dispute information | [________________________________] |
| Permitted response period | [________________________________] |
| Collection, consumer, bankruptcy, insurance, or court restriction | [________________________________] |
| Separate letter approved? | [YES / NO / UNRESOLVED] |
11. Delivery and Proof Record
| Event | Date and time | Method and address | Tracking, receipt, or witness | Follow-up |
|---|---|---|---|---|
| Payment sent or delivered | [________] | [________] | [________] | [________] |
| Itemization sent or delivered | [________] | [________] | [________] | [________] |
| Supporting documents sent | [________] | [________] | [________] | [________] |
| Returned or undeliverable mail | [________] | [________] | [________] | [________] |
| Tenant response | [________] | [________] | [________] | [________] |
Retain the final letter, payment proof, accounting, source records, delivery proof, returned mail, and later communications under the counsel-approved retention schedule.
12. Final Review Before Sending
☐ The landlord, tenant, property, tenancy, deposit holder, and special overlays are correctly classified.
☐ The trigger, deadline, day-count rule, delivery method, and address come from current authority and actual records.
☐ Every deduction category and exclusion is grounded in current authority.
☐ Every deduction is specific, documented, calculated, and tested against ordinary wear and other exclusions.
☐ Interest, earnings, credits, prior applications, and transfers are accounted for.
☐ The amount returned, payment instrument, payees, itemization, and enclosures reconcile exactly.
☐ No invented tenant objection period, default, automatic acceptance, fee, penalty, forum, or collection deadline remains.
☐ Any balance beyond the deposit is handled through a separately approved route.
☐ The outgoing letter contains no internal instructions, unresolved alternatives, or blank fields.
☐ Qualified counsel in the governing jurisdiction approved the final statement and delivery plan.
- Reviewing attorney: [________________________________]
- Reviewer jurisdiction and credential: [________________________________]
- Review date: [__/__/____]
- Approved outgoing letter version: [________________________________]
End of preparation packet. Do not send this packet as the itemization statement.
About This Template
Real estate documents transfer ownership, define who can use a property, and record agreements between buyers, sellers, landlords, and tenants. Deeds, purchase agreements, leases, and easements have to be drafted to meet state recording requirements, and mistakes show up at closing or years later in title disputes. Good real estate paperwork moves transactions forward quickly and avoids the kind of problems that only surface when it is time to sell or refinance.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
A reviewer verified this template's legal citations against the official source on 2026-08-21.
Last updated: 2026-08-21
Get your Security Deposit Itemization Statement, done and ready to use
Fill it in for your situation, adjust it for your state, and download the finished Word and PDF. Let the AI do it in about 5 minutes, or finish it yourself in the editor. $99 one time, or go Pro for access to every document and every Ezel app.