Security Deposit Deductions – Fill Out and Use This PDF

Updated: Nov 9, 2026

The Security Deposit Deductions Form serves as an official document that landlords use to itemize and explain any deductions from a tenant's security deposit. This includes details such as the date the tenancy began, total deposits paid, specific deductions for repairs, cleaning, unpaid rent, and the final refund amount. To ensure clarity and fairness in the process of security deposit returns, familiarizing oneself with this form and completing it accurately is crucial.

To get started on filling out your form and ensuring you follow the proper steps for deductions, click the button below.

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Security Deposit Deductions PDF Details

The Security Deposit Deductions Form serves as a crucial document in the landlord-tenant relationship, especially at the end of a lease agreement. It provides a transparent, itemized statement of deductions from the tenant’s security deposit. This form lists the resident's name, rental property address, and forwarding address, ensuring there is no ambiguity regarding the parties involved or the location pertinent to the deductions. It marks the start and end dates of the tenancy and enumerates the total deposits paid, offering a clear financial starting point. Most notably, it breaks down the deductions in categories such as repairs, painting, cleaning (including specific mentions of carpet and drape cleaning), miscellaneous costs, unpaid rent, and court judgments. This breakdown is followed by the total amount deducted from the deposit and the net amount to be refunded to the tenant. Additionally, the form provides guidance on the protocol for disputes over deductions, notably stating that documentation supporting deductions for repairs or cleaning is not mandatory unless the total exceeds $125. It also warns of potential negative credit reporting following a failure to satisfy credit obligations, underscoring the form's importance in financial and legal contexts. Completing the form is a statement by the owner or agent, including a date, which formalizes the document. The sign-off "UNAUTHORIZED USE PROHIBITED" alongside a revision date and form number highlights the form's official and regulated nature. Through outlining tenant rights and landlord obligations, the Security Deposit Deductions Form embodies an essential tool in preserving the integrity of the leasing process, ensuring fairness and clarity in the potentially contentious issue of security deposit refunds.

Question	Answer
Form Name	Security Deposit Deductions
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	sbrpa, sbrpa forms santa barbara ca, sbrpa application rent, sbrpa forms hours report

How to Fill Out Security Deposit Refund Form

Security Deposit Refund Form at a glance

What it is: Security Deposit Refund Form: the following is an itemized statement of your deposit account.

Who signs: Sign on the Owner/Agent line and enter the Date.

A filled-in Security Deposit Refund Form example: a resident gets a deposit refund statement

Security Deposit Refund Form example filled out, example: a resident gets a deposit refund statement — Resident Pat Sample receives this refund form from the owner after moving out. The statement shows one deposit and two deductions, and none of its entries is real. The owner encloses a check, so Please make your check in the amount of stays empty.

How to fill out Security Deposit Refund Form, box by box

Resident's Name and Address

Enter the Resident's Name, the Address, the Unit No., the City and the Zip Code.

FORWARDING Address

Enter the FORWARDING Address, the Unit No., the City, the State and the Zip Code.

Date tenancy began and Total of all deposits paid

Enter the Date tenancy began, the Date keys turned in and the Total of all deposits paid.

Deductions

Under Deductions, enter the TYPE, DESCRIPTION and COST for Repairs, Painting, Cleaning, Carpet Cleaning, Drape Cleaning, Miscellaneous, Unpaid Rent and Court Judgement, then the Total Deductions.

Documents to support deductions for repairs or cleaning together are not required when the total does not exceed $125 (checked November 8, 2026).

Your check

Enter the amount in: Your check is enclosed in the amount of, and mark its box when your check is enclosed.

Fill this line, and mark its box, only when your check is not the one in Your check is enclosed in the amount of: enter the amount and payable to: Please make your check in the amount of payable to within 21 days of receipt of this statement.

Sources

[1] Security Deposit Refund Form (the Official source link on this page).