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Security Deposit (balance not returned)

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Defendant:
(who caused the harm?)

Security Deposits (balance not returned)

*Describe your complaint:
(briefly describe the damages you have suffered)

Do you believe that your landlord deducted an amount from your security deposit that was more that the actual charges that he or she incurred to repair or clean the premises?

Yes No

Did your landlord return the balance of your security deposit within three weeks after you vacated the premises?

Yes No

Did your landlord provide you with an itemized statement indicating the portion of the security deposit the landlord planned to retain, within three weeks after you vacated the premises?

Yes No

If not, did your landlord return your entire security deposit?

Yes No

How much was your security deposit?

How much did you get returned?

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*Last name:

*Email address:

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*Phone number(s):

*Zip/Postal Code:

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