Free California Security Deposit Itemization Fillable PDF Form

Free California Security Deposit Itemization Fillable PDF Form

Legally Compliant Deposit Refund Statement

📋 Required Within 21 Days – CC §1950.5

⏰ CRITICAL: 21-Day Deadline

Must be sent within 21 calendar days of tenant move-out. Missing deadline = penalties up to 2x deposit amount plus attorney fees.

Required: Send via certified mail with receipts for repairs over $126.

Property & Tenant Information

Itemized Deductions

Deduction #1

Deduction #2

Deduction #3

Deduction #4

Deduction #5

Summary

Original Deposit: $0.00
Total Deductions: $0.00
Amount Refunded: $0.00

Landlord Information

📋 Before Sending

  • Include receipts for ALL repairs over $126
  • Send via certified mail
  • Must be postmarked within 21 days

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California Security Deposit Law Guide

The 21-Day Rule

California Civil Code §1950.5 requires landlords to return the security deposit OR provide itemized deductions within 21 calendar days. Missing this deadline can result in penalties up to 2x the deposit amount plus attorney fees.

What You Can Deduct

  • Unpaid rent through the date tenant vacated
  • Damage beyond normal wear (holes, stains, broken items)
  • Cleaning costs if left dirtier than move-in
  • Missing furnishings (furnished rentals only)

What You CANNOT Deduct

  • Normal wear and tear (faded paint, minor scuffs)
  • Repainting unless damaged beyond normal wear
  • Carpet replacement due to age/normal use

The $126 Receipt Requirement

For any repair or cleaning charge over $126, you must include receipts or written estimates. This threshold is adjusted periodically for inflation.