SECURITY DEPOSIT REFUND
To: _________________________________________________________________ For Premises Located at::____________________________________________________________________ Apt.:_____ City:___________________________________________ Zip:_______________ SECURITY DEPOSIT.................................................................................................$ __________________ INTEREST ON DEPOSIT @ __________ % ..............................................................$ __________________ TOTAL SECURITY DEPOSIT.....................................................................................$ __________________ Rent Due From ___________________ to __________________ $___________ Late Fees Due....................................... ........................................$___________ CIeaning................................................ ........................................$___________ Carpets ................................................. ........................................$___________ Painting ................................................. ........................................$___________ Drapes .................................................. ........................................$___________ Other:________________________________________________ $___________ TOTAL CHARGES .....................................................................................................$ __________________ BALANCE DUE OWNER ...........................................................................................$ __________________ BALANCE DUE RESIDENT.......................................................................................$ __________________ Please remit your check for balance due, if any, to: Name: ____________________________________________________________________________ Address: __________________________________________________________________________ City, State, Zip:_____________________________________________________________________ Pursuant to Civil Code 1950.5, Owner, on the _____ day of________________, 20_____ hereby furnished the above statement of security deposit disposition of monies to former residents .
Owner/Agent__________________________________________________________Date______________________
AOA Form No. 133 (Rev. 04/06) Copyright 2006 Apartment Owners Association of California www.aoausa.com ▪ San Fernando Valley (818)9889200 ▪ Los Angeles (323)9378811 ▪ ong Beach (562)5972422 ▪ Garden Grove (714)5396000 ▪ San Diego (619)2807007 ▪ Northern California (510)7697521 L