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Damage Deposit Receipt Template
Provide clear written proof of a damage deposit received and how it may be used or returned.
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Damage Deposit Receipt Template
[Business / Landlord / Owner Name Receiving Deposit]
[Street Address]
[City, State/Province, ZIP/Postal Code, Country]
Phone: [Phone Number]
Email: [Email Address]
1. Receipt Information
Receipt Title: Damage Deposit Receipt
Receipt No.: [Receipt Number]
Receipt Date: [MM/DD/YYYY]
Location: [City, State/Province, Country]
2. Depositor (Payer) Details
Depositor Name or Business: [Depositor Full Name or Business Name]
Contact Person (if business): [Contact Person Name]
Address: [Depositor Street Address]
City, State/Province, ZIP/Postal Code, Country: [City, State/Province, ZIP/Postal Code, Country]
Phone: [Depositor Phone Number]
Email: [Depositor Email Address]
3. Related Property / Item / Agreement
Type of Agreement (select or describe):
☐ Residential rental
☐ Commercial rental
☐ Equipment rental
☐ Vehicle rental or lease
☐ Event / venue booking
☐ Other: [Type of Agreement]
Property / Item Description:
[Property Address, Unit Number, Equipment or Item Description, Vehicle Details, or Event / Venue Description]
Related Agreement / Contract No. (if any): [Agreement or Contract Number]
Agreement Date: [MM/DD/YYYY]
4. Damage Deposit Details
Damage Deposit Amount: [Currency and Amount]
Currency: [Currency Code]
Type of Deposit (select or describe):
☐ Damage deposit only
☐ Damage and cleaning deposit
☐ Damage, keys, and access devices
☐ Other: [Deposit Type]
Date Deposit Received: [MM/DD/YYYY]
5. Payment Method
Payment Method (select or describe):
☐ Cash
☐ Check – Check No.: [Check Number]
☐ Bank Transfer – Reference: [Transfer Reference]
☐ Credit Card – Last 4 digits: [XXXX]
☐ Debit Card – Last 4 digits: [XXXX]
☐ Other: [Payment Method Description]
6. Conditions for Use, Refund, or Forfeiture (Summary)
The Parties acknowledge that this damage deposit is held under the terms of the related agreement identified in Section 3. In summary, they understand that:
The deposit may be used to cover:
Repair of damage beyond normal wear and tear;
Replacement of lost or damaged items, keys, or access devices;
Cleaning or restoration costs if the property or items are not returned in acceptable condition;
Other amounts allowed under the related agreement and applicable law.
Any remaining balance of the deposit, after lawful deductions, will be returned to the Depositor within [Number] days after the end of the agreement or after the property / items are returned and inspected.
If the deposit is fully or partly withheld, an itemized statement of deductions will be provided to the Depositor in writing, as required by the related agreement and applicable law.
Additional Conditions (if any):
[Additional conditions, fee rules, or references to specific clauses in the main agreement]
7. Notes (Optional)
Notes:
[Notes, such as “Deposit is non-interest-bearing” or “Deposit may not be applied to regular rent or fees unless agreed in writing”]
8. Acknowledgment and Signatures
Recipient (Party Receiving Deposit)
Name: [Recipient Name]
Title / Role (if business): [Title or Role]
Signature: _______________________________
Date: [MM/DD/YYYY]
Depositor (Party Providing Deposit) – Optional Signature
I acknowledge that the damage deposit described above has been paid and correctly recorded on this receipt.
Depositor Name: [Depositor Full Name]
Signature (if used): _______________________________
Date: [MM/DD/YYYY]
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Learn more about
Damage Deposit Receipt Template
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
DAMAGE DEPOSIT RECEIPT TEMPLATE FAQ
What is a damage deposit receipt?
A damage deposit receipt is a written record that confirms a landlord, business, or owner has received money as a deposit specifically to cover possible damage to property, equipment, or other items. It shows who paid the deposit, how much was paid, when it was paid, and what it covers.
When should I use a damage deposit receipt?
Use a damage deposit receipt whenever you collect a deposit that is meant to cover potential damage or loss — for example, for rental property, tools, event equipment, furniture, vehicles, or short-term rentals where the main agreement is separate.
How is a damage deposit receipt different from a general deposit receipt?
A general deposit receipt can cover any type of advance payment or reservation. A damage deposit receipt is focused on money held to cover damage or loss. It clearly states that the funds may be used for repairs, replacement, or cleaning and explains under what conditions any remaining amount will be refunded.
What should a damage deposit receipt include?
It should include the parties’ names and contact details, a description of the property or items covered, the amount and currency of the deposit, the date received, the related agreement or contract, and a short summary of how and when the deposit can be used or refunded.
Can I use this template for residential, commercial, or equipment rentals?
Yes. You can adapt this template for residential or commercial premises, tools, vehicles, event equipment, furniture, or other property. Just adjust the property description and the “type of agreement” and “conditions for refund or forfeiture” to match your situation.
Can AI Lawyer help me customize this Damage Deposit Receipt template?
Yes. AI Lawyer can help you tailor this Damage Deposit Receipt template to your lease, rental, or service terms by adjusting wording, adding legally required notes, or aligning it with your main agreement while keeping it simple and easy to understand.
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