Security Deposit Itemization Statement
SECURITY DEPOSIT ITEMIZATION AND REFUND STATEMENT
Date issued: [__/__/____]
To tenant(s): [FULL LEGAL NAMES]
Forwarding or last known address: [ADDRESS]
From landlord or deposit holder: [FULL LEGAL NAME AND CONTACT ADDRESS]
Rental property: [FULL STREET ADDRESS AND UNIT]
Tenancy ended: [__/__/____]
Possession returned, if different: [__/__/____]
Applicable deposit-accounting law and required delivery date: [CURRENT STATE/LOCAL SECTION AND DATE]
Deposit held
| Deposit component | Amount held | Source or transaction date |
|---|---|---|
| Refundable security deposit | $[AMOUNT] | [DATE AND RECORD] |
| Other refundable deposit held under the lease | $[AMOUNT / NONE] | [DESCRIPTION AND DATE] |
| Interest owed to tenant, if required | $[AMOUNT / ZERO IF NOT REQUIRED] | [AUTHORITY AND CALCULATION] |
| Total available for accounting | $[AMOUNT] |
Advance rent or other funds that are not part of this deposit accounting are [DESCRIBE SEPARATELY / NONE].
Itemized proposed or final deductions
| No. | Reason and location or rental period | Amount | Lease term and current legal basis | Invoice, estimate or other support |
|---|---|---|---|---|
| 1 | [SPECIFIC DESCRIPTION] | $[AMOUNT] | [PROVISION AND SECTION] | [DOCUMENT, DATE AND PAGE] |
| 2 | [SPECIFIC DESCRIPTION / OMIT] | $[AMOUNT] | [PROVISION AND SECTION] | [DOCUMENT, DATE AND PAGE] |
| 3 | [SPECIFIC DESCRIPTION / OMIT] | $[AMOUNT] | [PROVISION AND SECTION] | [DOCUMENT, DATE AND PAGE] |
| Total deductions | $[AMOUNT] |
For physical-condition charges, the itemization compares [MOVE-IN RECORD AND DATE] with [MOVE-OUT RECORD AND DATE], identifies the actual work or replacement, and excludes ordinary use or other nonchargeable conditions under [SELECTED LAW]. If a charge is estimated, its basis and any later accounting required by law are [ESTIMATE BASIS, PROVIDER, FOLLOW-UP METHOD AND DATE / NOT APPLICABLE].
Disposition
| Accounting | Amount |
|---|---|
| Total available for accounting | $[AMOUNT] |
| Less total permitted deductions | −$[AMOUNT] |
| Refund to tenant | $[AMOUNT] |
The refund of $[AMOUNT] is [ENCLOSED BY CHECK NUMBER AND PAYEES / SENT ELECTRONICALLY ON DATE WITH CONFIRMATION / BEING SENT SEPARATELY ON DATE BY METHOD]. If deductions exceed the deposit, enter a $0 refund and identify any separate asserted balance here: [AMOUNT AND BASIS / NONE]. This statement does not set an independent payment deadline for that balance.
Required statutory notice of intent, objection instructions, sworn statement, receipt copies, photographs or other enclosure: [INSERT EXACT REQUIRED TEXT AND LIST ATTACHMENTS / NONE AFTER REVIEW].
If this is an initial proposed deduction notice rather than a final accounting, state that status and the later refund/accounting date expressly: [STATUS, CONTROLLING SECTION AND DATE / NOT APPLICABLE].
Questions or documents concerning this accounting may be sent to [NAME, ADDRESS AND CONTACT METHOD]. The supporting records enclosed are [LIST EACH DOCUMENT / NONE].
Landlord or authorized agent signature: ________________________________
Printed name and capacity: [NAME AND ROLE]
Date signed: [__/__/____]
Delivery record
This statement and its listed attachments were sent on [__/__/____] to [TENANT NAME] at [ADDRESS OR ELECTRONIC DESTINATION] by [METHOD REQUIRED OR PERMITTED BY SELECTED LAW]. Proof of delivery or sending retained: [TRACKING, CERTIFICATE OR ELECTRONIC RECORD].
About this template
- Last updated
- September 28, 2026
- Last reviewed
- September 28, 2026
- Jurisdiction
- All states
- Category
- Real Estate
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.
Not legal advice
This template is provided for informational purposes. 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 September 28, 2026.
Fla. Stat. § 83.49(3)(a) (checked September 28, 2026): "If the landlord intends to impose a claim on the deposit, the landlord must, within 30 days after the termination of the rental agreement, provide the tenant written notice by certified mail to the tenant’s last known mailing address or by e-mail in accordance with s. 83.505 of his or her intention to impose a claim on the deposit and the reason for imposing the claim."
Fla. Stat. § 83.49(3)(b) (checked September 28, 2026): "The failure of the tenant to make a timely objection does not waive any rights of the tenant to seek damages in a separate action."
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