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Fill and Sign the Landlord Tenant Closing Statement to Reconcile Security Deposit Georgia Form

Fill and Sign the Landlord Tenant Closing Statement to Reconcile Security Deposit Georgia Form

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LANDLORD TENANT CLOSING STATEMENT Landlord Name:       Leased Premises Address:       Tenant Information Name(s):       Forwarding Address:             New Phone:       Other Information:       Security Deposit Security Deposit Amount Paid:       Other Deposits:             Rent Credit:             Total Credit       Charges to Deposit and Credits Cleaning Charges       Damage Repairs (list):                                     Unpaid Rent:       Uncollected Late Charges:       Uncollected Interest:       Total Charges       Amount Due to Tenant:       Amount Retained by Landlord:       Amount Due Landlord:       Comments:       Check Enclosed: Number:       Amount:       Amount Due Landlord:       Signed by Landlord or Representative: __________________________________________________ Signature Date Delivered or mailed to Tenant:       If there is an Amount Due Landlord above, please forward the full amount to Landlord at the following address:      

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