Colorado Security Deposit Statement by Megadox

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									                             STATEMENT OF SECURITY DEPOSIT

Name of Tenant:
Rental Unit Address:
Rental Agreement dated:        the ____ day of __________________, __________.
 Commencement Date:            the ____ day of __________________, __________.
 Termination Date:             the ____ day of __________________, __________.


Security Deposit Received:                                                                $
Interest Earned (at ______% per annum):                                                   $
Total Security Deposit and Interest Earned:                                               $


Security Deposit Deductions:
 Unpaid Rent: (insert rental periods for which rent remains outstanding)
                                                                                          $
                                                                                          $
                                                                   Total Unpaid Rent:     $


 Unpaid Utilities: (insert utilities & periods which remain outstanding)
                                                                                          $
                                                                                          $
                                                                                          $
                                                                Total Unpaid Utilities:   $


 Cleaning of Rental Unit: (insert details of cleaning required)
                                                                                          $
                                                                                          $
                                                                                          $
                                                               Total Cleaning Charges:    $


 Repair to Rental Unit: (insert detail
								
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