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Damage Itemization Statement

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In an empty room, a landlord and a departing tenant kneel to look at a chipped baseboard, a clipboard and a blank sheet on the floor
  1. List each damaged item
  2. Note the cost of each repair
  3. Show the refund after deductions
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About the Damage Itemization Statement

The Damage Itemization Statement is a move-in form written to be portable across every U.S. state. Itemized accounting of damages charged against the deposit. Refund amount auto-computes from deposit minus total deductions. Preview and fill the document online for free. Sign in to download a watermarked copy, or review Prime plans for clean PDFs and signing.

What this move-in form covers

This form contains 8 sections. Here is the full outline of what it addresses:

  1. TO
  2. STATEMENT OF DEPOSIT DISPOSITION
  3. DEPOSIT HELD
  4. ITEMIZED DEDUCTIONS
  5. TOTAL DEDUCTIONS
  6. REFUND DUE
  7. TENANT'S RIGHTS
  8. DATE

Frequently asked questions

Is the Damage Itemization Statement free to preview?

Yes. You can preview and fill out the form for free. A free account lets you download a watermarked copy. Prime adds PDFs without a watermark and electronic signing. Check the plan details before choosing.

Which states does the Damage Itemization Statement apply to?

This move-in form is prepared for every U.S. state. Itemized accounting of damages charged against the deposit. Refund amount auto-computes from deposit minus total deductions.

Can I fill it out and e-sign it online?

Fill out the form in your browser, then check the document and who needs to sign. Paid plans let you send it for signature and keep a signing record. Confirm the applicable delivery, consent and signature requirements before sending.

What Prime adds

Prepare and review your document.

  • PDF without a watermark. You can select and copy the text.
  • Auto-fills from your portfolio. Tenant, address, amounts pulled straight from your unit ledger.
  • E-signed with audit trail. Tenants sign in the browser. Every signature, IP, and timestamp is logged.
  • Access to the full library. The plan includes forms for every state, with no per-form fee.
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Use this form inside Rentari

Keep the form with the lease, tenant and rent records it belongs to.