Receipt for Lease Security Deposit

The landlord acknowledges receipt of the sum of $ * paid by the tenant under the following
described lease: *





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.


Dated: * , 20 *


* *
Signature of Landlord                Printed Name of Landlord