Security Deposit Receipt

Date __________________________

Landlord	Tenant	
Address	Address	
		
Name	Name	
Phone	Phone	

Description of Lease	

	

	

The Landlord acknowledges receipt of the sum of $_____________________ paid by the Tenant under the lease described above.

This Security Deposit payment will be held by the Landlord under the terms of this lease, and unless required by law, will not bear any interest. This Security Deposit will be repaid when due under the terms of the lease.

Signature of Landlord	

By: 

Name of Landlord