Property & rentals 2 signers 2 pages 16 blanks to fill in

Security deposit return statement Template

At the end of a tenancy, the landlord itemises any deductions from the security deposit and the amount being returned, and the tenant acknowledges receiving the statement — agreeing or disputing it.

Use this template — free See the agreement Signers don’t need an account
Security deposit return statement
The blanks in brackets are what you fill in. FileIt adds each signer’s signature and date boxes.
Security deposit return statement — page 1 of 2
Page 1 of 2
Security deposit return statement — page 2 of 2
Page 2 of 2
Use this template Fill in the blanks, name who signs, and send — from FileIt eSignature.

What is a security deposit return statement?

At the end of a tenancy, the landlord itemises any deductions from the security deposit and the amount being returned, and the tenant acknowledges receiving the statement — agreeing or disputing it. Start from this template in FileIt eSignature: fill in the blanks, add the people who sign, and send it. Everyone signs online and the signed PDF is filed in your vault.

What you fill in

16 blanks, then the name and email of each person who signs: landlord, tenant.

1 The tenancy

  • Date of this statement*
  • Landlord or managing agent*
  • Tenant name(s)*
  • Address of the rented property*
  • Tenant's forwarding address
  • Date the tenancy ended / keys returned*

2 The deposit

  • Currency*
  • Deposit held*
  • Interest on the deposit (optional)
  • Deposit protection scheme reference (optional)

3 Deductions

  • Itemised deductions
  • Total deductions
  • Amount being returned*
  • Amount still owed by the tenant (optional)
  • How the refund is paid*
  • Evidence available (optional)

4 Who signs

  • Landlord signature and date · The landlord or managing agent who held the deposit.
  • Tenant signature and date · The former tenant receiving the statement.

What the security deposit return statement covers

  1. Deposit
  2. Deductions
  3. Amount returned
  4. Questions and disputes
  5. Tenant's acknowledgement

Sign it online in minutes

  1. Fill in the blanks. Names, dates and amounts go straight into the agreement — the preview shows exactly where.
  2. Name who signs. Tick “This is me” for your own part. FileIt builds the PDF with every signature, date box on the right line, and you can check or move anything before sending.
  3. Send it. Each signer gets a secure link and signs from any device — no account needed. The signed PDF, with an audit trail and a Certificate of Completion, is filed in your vault and emailed to everyone.
Use the security deposit return statement template — it’s free