Owner’s Return of Damage Deposit

Mail Date of return of the original damage deposit minus the itemization of paid material(s) and service(s), which is not Wear by Use or Tear by Nature: .

Lessee’s damage deposit: $
Owner’s Expenses

Total Hired Services Cost: $
Total Labor Cost: $ = Total Labor Hours  x Hourly Labor Rate $
Total Material Cost: $
Trip charge for materials: $
Balance Due to Lessee: $
Payable to: 
Forwarding Address: 
Description of cleaning, repair, restoration or replacement:

| number of work hours | cost of labor | cost of materials | total hired services cost | Lessee's cost

removal of trash, recycle and donations:

| 0 | $0.00 | $0.00 | $0.00 | $0.00 |

light fixtures and ceiling fans: removed dirt and cleaned

| 2 | $60.00 | $0.00 | $0.00 | $0.00 |

tops of all surfaces including the refrigerator: cleaned residue

| 1 | $30.00 | $0.00 | $0.00 | $0.00 |

Window sills inside and outside, inside frame: removed dirt and cleaned

| 2 | $60.00 | $0.00 | $0.00 | $0.00 |

Baseboards: removed dust and cleaned

| 3 | $90.00 | $0.00 | $0.00 | $0.00 |

Vacuum drapes and wash curtains: schedule for wash

| 0 | $0.00 | $0.00 | $0.00 | $0.00 |

Kitchen cabinets, countertops and sink: 

| 0 | $0.00 | $0.00 | $0.00 | $0.00 |

Refrigerator, stove, oven, dishwasher: cleaned oven residue

| 0 | $0.00 | $0.00 | $0.00 | $0.00 |

Bathroom(s) all components: tighten toilet seat

| 0.5 | $15.00 | $0.00 | $0.00 | $0.00 |
 
Washer and Dryer tops, outside and inside: removed dust and cleaned

| 0.5 | $15.00 | $0.00 | $0.00 | $0.00 |

Closet shelving:

| 0 | $0.00 | $0.00 | $0.00 | $0.00 |

Carpets: schedule steam clean to remove dirt and stains

| 0 | $0.00 | $0.00 | $0.00 | $0.00 |

Tile floors: cleaned residue

| 1 | $30.00 | $30.00 | $0.00 | $0.00 |

Wood Floors: northwest bedroom floor strip and refinish floor, swept and mopped residue

| 6 | $180.00 | $94.32 | $0.00 | $94.32 |

Basement floors: swept, mopped residue, touch up paint

| 4 | $120.00 | $0.00 | $0.00 | $0.00 |

Garage floor: swept, mopped, scrapped and repaint

| 5 | $150.00 | $19.96.00 | $0.00 | $19.96 |

Entrance Doors and Outside Storm Door(s): cleaned dirt.

| 1 | $30.00 | $0.00 | $0.00 | $0.00 |

Exterior siding caused by pets or persons:

| 0 | $0.00 | $0.00 | $0.00 | $0.00 |

Touch up any accidental markings on walls: throughout dwelling

| 2 | $60.00 | $0.00 | $0.00 | $0.00 |

Owner’s Concern of Condition requiring cleaning, repair, restoration or replacement: Living room drapes and curtains torn, kitchen wall paper torn, kitchen and basement door pet scratches, painted garage wall repaired by tenant, brick veneer and corner trim, fastened window well cover

| 3 | $90.00 | $0.00 | $0.00 | $0.00 |

Owner’s furnishings, upholstery and wood: scratches on bedroom bureau, used Old English restore; upholstery schedule for steam clean

| 0.5 | $15.00 | $0.00 | $0.00 | $0.00 |

Owner’s furnishings returned to original placements:

| 0 | $0.00 | $0.00 | $0.00 | $0.00 |