Free template · California · Updated for 2026

California itemized security deposit statement: free template

Within 21 days after a tenant moves out, a California landlord has to send an itemized statement of what came out of the deposit, with whatever is left. For repairs and cleaning, the invoices and photos behind each charge go with it. This free fillable template has a place for everything the law asks for.

Free fillable PDF: California itemized deposit statement

Two pages: the deposit, each deduction and the refund on the first; the documents, photos and estimates the law asks for on the second. Fill it in on your computer, or print it.

Download the PDF

The short answer

When
No later than 21 calendar days after the tenant moves out. Not before a notice to end the tenancy has been given, or, for a fixed-term lease, more than 60 days before it ends.
What it shows
The security you received, each deduction and the reason for it, and what you're returning.
What goes with it
When repairs and cleaning come to more than $125 in total: the invoices or receipts (or your own time and hourly rate) and the photos, with a written explanation of each cost.
How to send it
In person or by first-class mail, or by email if you and the tenant agreed. If the tenant paid electronically, the refund goes back electronically unless you agreed in writing on another method.
If it goes wrong
A landlord who misses these rules in bad faith can't keep any of the deposit, and can owe up to twice its amount in damages.

How to fill in the template

  1. The top. The date you send it, every adult tenant on the lease, the rental address and the move-out date. Tick how you're sending it. Mail goes to the address the tenant gave you, or to the rental address if they didn't give one.
  2. Security received. Everything you held as security, not just the deposit: a pet deposit, a move-in fee or a prepaid last month's rent all count. Add interest only if your city requires it.
  3. One line per deduction. Say what it was, where, and why it's chargeable, and give its purpose: unpaid rent, repair of damage beyond ordinary wear and tear, cleaning back to the move-in level, or furnishings if the lease allows. "Bedroom 2 carpet: pet urine stains that professional cleaning didn't remove; replaced, charged for the 4 years of its 10-year life that remained" holds up. "Carpet, $640" invites a dispute. Tick Est. for any amount that's still an estimate.
  4. Totals and refund. Total the deductions, show what you're returning, and tick how the refund goes back. With more than one adult tenant and no written agreement on splitting the deposit, a check is made out to all of them.
  5. Page 2: the documents. For each repair or cleaning line, note what's enclosed: your own time and hourly rate, the vendor's invoice, receipts for materials, and how the photos are provided (enclosed, by email, on a flash drive or by link).
  6. Sign it, keep a copy, and send it with the refund within the 21 days.

A worked example

A tenant held a $2,500 deposit and moved out after three years. The landlord's statement:

#What it was for, and whyPurposeAmount
1Bedroom 2 carpet: pet urine stains that professional cleaning didn't remove. Replaced; new carpet $1,600; the carpet was 6 years into a 10-year life, so 4 years' worth is charged.Repair$640.00
2Oven and range hood: heavy grease build-up; both were clean at move-in. 2 hours of the landlord's own work at $45 an hour.Cleaning$90.00
3Bathroom towel bar pulled out of the wall: wall patched and painted, bar reinstalled (handyman's invoice).Repair$135.00
Total deductions$865.00
Returned to the tenant$1,635.00

Repairs and cleaning come to more than $125, so the statement goes out with the carpet installer's invoice, the handyman's invoice, a description of the oven cleaning with the time and rate, and the photos of each item taken after move-out, before the work and after it.

Not on the statement: carpet worn along the hallway, paint faded by the sun, a few small nail holes. After three years, that's ordinary wear and tear.

The carpet line uses the useful-life approach from the California Department of Real Estate's guide: the tenant pays only for the life the item had left. The useful-life calculator works it out.

What goes with the statement

For every repair or cleaning deduction, the law asks for proof of the cost, sent at the same time as the statement: a description of your own work with the time and hourly rate, or the vendor's bill, invoice or receipt, or the receipt for materials, plus the photos and a written explanation of the cost. If a repair can't reasonably be finished in 21 days, or an invoice hasn't arrived, you can deduct a good-faith estimate and send the final paperwork within 14 days. If repairs and cleaning together come to $125 or less, the documents aren't required unless the tenant asks within 14 days of getting the statement.

The full rules, in one place. What each kind of deduction needs, the estimate route, the $125 rule, and how to return the money under the 2026 changes.

California deposit law

Mistakes that cost landlords the deposit

Free: a move-out letter to your tenant. The pre-move-out inspection notice California requires, plus cleaning, key and deposit instructions. Fillable PDF.

Get the letter

Free fillable PDF: California itemized deposit statement

Two pages: the deposit, each deduction and the refund on the first; the documents, photos and estimates the law asks for on the second. Fill it in on your computer, or print it.

Download the PDF

Sources

Checked against the statute's text in November 2026. General information, not legal advice. For a specific situation, talk to a California landlord-tenant attorney or your local rent board.