SECURITY DEPOSIT ITEMIZATION & DISPOSITION LETTER

State of Connecticut – Conn. Gen. Stat. § 47a-21 Compliance

[// GUIDANCE: This template is designed for residential landlords subject to Connecticut law. Customize all bracketed fields before use. Retain proof of mailing to establish statutory compliance.]

FROM (Landlord/Agent):
[LANDLORD LEGAL NAME]
[Street Address] • [City], CT [ZIP] • Phone: [###-###-####] • Email: [EMAIL]

TO (Tenant):
[TENANT FULL NAME]
[Forwarding Street Address] • [City], [State] [ZIP]

DATE OF NOTICE: [MM/DD/YYYY]
LEASED PREMISES: [Full Property Address, Unit No.]
LEASE DATES: Commencement [MM/DD/YYYY] – Termination [MM/DD/YYYY]
MOVE-OUT / KEY RETURN DATE: [MM/DD/YYYY]
SECURITY DEPOSIT RECEIVED: $[AMOUNT] on [MM/DD/YYYY]

1. Statutory Context & Timing

This Itemization and Disposition Letter (“Notice”) is provided pursuant to Conn. Gen. Stat. § 47a-21(d) within (i) 30 days after termination of the tenancy and surrender of the Premises, and (ii) 15 days after receipt of Tenant’s forwarding address—whichever is later.

2. Calculation of Amount Due

* Detailed breakdown of repairs is provided in Section 3 with copies of invoices/receipts.

[// GUIDANCE: If deductions exceed the deposit+interest, change “Net Amount Owed to Tenant” to “Balance Owed by Tenant” and insert appropriate demand language in Section 4.]

3. Itemized Deductions Detail

1. Repair – Living Room Wall Patch & Paint
   • Reason: Hole larger than 1" diameter; exceeds ordinary wear.
   • Invoice: ABC Paint Co., Inv. #12345 (attached) – $[AMOUNT]

2. Carpet Replacement – Bedroom 2
   • Reason: Irremediable pet urine saturation.
   • Depreciated Cost Allocation (5-year useful life, 2 years remaining): $[AMOUNT]
   • Invoice: XYZ Flooring LLC, Inv. #98765 (attached)

3. Utility – Water/Sewer (Final Bill)
   • Provider: [Utility Company] – $[AMOUNT]

[Add additional line items as needed.]

4. Enclosed Payment OR Demand for Payment

☐ A check in the amount of $[ ] made payable to [TENANT NAME] is enclosed.
☐ The deductions exceed the deposit; please remit the outstanding balance of $[ ] within fifteen (15) calendar days of receipt of this Notice. Make payment to [LANDLORD NAME] at the address above. Failure to remit may result in legal action and the recovery of additional costs as permitted by law.

5. Tenant’s Right to Contest

If you dispute any portion of this accounting, please provide a written statement of the specific items contested within fifteen (15) days of receipt. Absent timely objection, the accounting shall be deemed accurate. Nothing herein waives either party’s rights under Conn. Gen. Stat. § 47a-21 to pursue claims in the Housing Session of the Connecticut Superior Court.

6. Certification of Delivery

I certify that a true and accurate copy of this Notice (with all referenced attachments) was delivered to Tenant on the Date of Notice above via:
☐ First-Class U.S. Mail, postage prepaid;
☐ Certified Mail, Return Receipt Requested (Tracking No. [########]);
☐ Hand Delivery with Tenant’s signature acknowledging receipt.

_______________________________
[AUTHORIZED SIGNATORY NAME]
[Title, if Agent/Manager]
For [LANDLORD LEGAL NAME]

Attachments

1. Copies of invoices/receipts supporting deductions
2. Interest calculation worksheet
3. [Any additional documentation]

[// GUIDANCE FOR COUNSEL:
1. Confirm current statutory interest rate published by the CT Banking Commissioner for the applicable period.
2. Retain documentation for at least four (4) years in anticipation of potential double-deposit penalty claims under Conn. Gen. Stat. § 47a-21(g).
3. If premises are subject to federal programs (e.g., HUD), verify additional notice requirements.
4. For corporate landlords, consider adding an execution block with officer attestation.]