Free Affidavit for Security Deposit Disputes Template
AFFIDAVIT FOR SECURITY DEPOSIT DISPUTES
I, [Your Name], residing at Long Beach, CA 90801, being duly sworn, with this declare and affirm the following regarding the security deposit for the property located at Tampa, FL 33601:
I. Tenant Information
|
Detail |
Information |
|---|---|
|
Name |
Amelia Pagac |
|
Contact Information |
(555) 123-4567 |
|
Lease Start Date |
January 1, 2052 |
|
Lease End Date |
December 31, 2052 |
II. Security Deposit Details
|
Detail |
Information |
|---|---|
|
Amount of Security Deposit |
$1,500 |
|
Date Paid |
December 15, 2050 |
|
Method of Payment |
Bank Transfer |
III. Dispute Information
-
Reason for Dispute: The landlord is withholding the security deposit for damages that were present before the lease began.
-
Amount in Dispute: $1,500
-
Additional Comments: The landlord has not provided any evidence of the alleged damages. A move-in inspection confirmed the property was in good condition.
IV. Supporting Evidence
I have attached the following documents:
-
Lease Agreement
-
Receipt of Security Deposit Payment
-
Move-in Inspection Report dated December 20, 2022
I declare under penalty of perjury that the foregoing is true and correct.
V. Signature and Notarization
Signed on this day October 21, 2060, at Tampa, FL 33601.
[Your Name]
Affiant
Notary Public:
Subscribed and sworn to (or affirmed) before me on this October 21, 2060, by [Your Name], who proved to me based on satisfactory evidence to be the person who appeared before me.
Notary Public
My Commission Expires: __________
