Landlord Residential Closing Statement

Landlord Information

Landlord Full Name:                                 _____________________________________

Rental Property Address:                             _____________________________________

 					         _____________________________________

					         _____________________________________

Tenant Information

Tenant(s) Full Name:		        ______________________________________

					        ______________________________________

Forwarding Address: 			        ______________________________________

					        ______________________________________

					        ______________________________________

Contact Information:			        ______________________________________

					        ______________________________________

Additional Information: 		        ______________________________________

					        ______________________________________

Security Deposit

Amount Paid for Security Deposit:	      $______________________________________

Other Deposits Given:			        ______________________________________

Rent Credits (if any):			        ______________________________________

Charges to Deposit and Credits

Cleaning Charges:			        ______________________________________

Damage Repairs to be Completed:	        ______________________________________
		
					        ______________________________________

					        ______________________________________

Unpaid Rent:				       $_____________________________________

Uncollected Late Charges:		       $_____________________________________

Uncollected Interest			       $_____________________________________

TOTAL CREDIT			       $_____________________________________

Total Charges

Amount Due to Tenant:		       $_____________________________________

Amount Retained by Landlord:                 $_____________________________________

Amount Due to Landlord:		       $_____________________________________

Additional Comments and Information:      _____________________________________

					         _____________________________________

Check Enclosed:
Number:         _______________________   Amount:      $________________________

Amount Due to Landlord: 		         _____________________________________

Landlord Signature:			         _____________________________________

Date:					         ___________, _____________, ___________

For any amount due to the Landlord, payments can be forwarded in the full amount to the Landlord at:				         _____________________________________

					         _____________________________________

					         _____________________________________