Security Deposit



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Receip t o f S ecuri ty Dep osi t Date: Tenant s Name: The Landlord/Landlord s Agent hereby acknowledges payment in the amount of , not to exceed four (4) weeks rent, from the above Tenant for the security deposit for the rental premises located at: The above rental premises is owned by (insert name of legal owner of rental premises) whose address is: (Landlord/Owner or Landlord s Agent Signature) Please note that this document is for reference purposes..

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