form updated December 2, 2008
TENANTS
Name _________________________________________________
Unit address _________________________________________________
_________________________________________________
Forwarding address _________________________________________________
_________________________________________________
Deposit given to OWI
Minus:
Unpaid rent
Unpaid late charges
Unpaid utilities
Advertising costs (if lease broken)
Cleaning fee
Lawn mowing/trimming ($50)
Damages
Other charges _________________
Other charges _________________
Total deductions
Total returned to tenant
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
_________________________________________ _______________
signature of property manager date
Name _________________________________________________
Unit address _________________________________________________
_________________________________________________
Forwarding address _________________________________________________
_________________________________________________
Deposit given to OWI
Minus:
Unpaid rent
Unpaid late charges
Unpaid utilities
Advertising costs (if lease broken)
Cleaning fee
Lawn mowing/trimming ($50)
Damages
Other charges _________________
Other charges _________________
Total deductions
Total returned to tenant
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
_________________________________________ _______________
signature of property manager date
