State of North Carolina

Security Deposit Deduction

Important Legal Notice — Your Security Deposit

This notice informs you of your rights under NC General Statutes § 42-50, The Tenant Security Deposit Act. The Landlord may use the security deposit for past due rent, fees, and damages above normal wear and tear. This letter outlines the amount held and deductions made, and acts as the required accounting under the statute.
1.Parties

Name of Landlord or Property Manager:

Name of Tenant:

2.Lease Details

Date of Lease Termination:

Monthly Rent Amount: $

3.Deposit Information

Location of Deposit (Trust Account):

Amount of Deposit Held: $

4.Accounting Timeline

This accounting is being delivered within:

If the 60-day box is checked, this accounting is an interim accounting. A final accounting with any remaining balance due will be provided within the time required by NC GS § 42-52.
5.Deductions

The Landlord or Agent has assessed the following deductions against the security deposit for past due rent, fees owed under the lease agreement, and/or damages to the premises beyond normal wear and tear:

Itemized Deductions:

6.Date & Delivery

This the Day of , 20.

Signature of Delivering Party

Delivered by:

Tenant Forwarding Address: