Notice to Vacate/Forwarding Address for Return of Security Deposit Letter


Landlord’s Name
Landlord’s Address

Dear {Enter Landlord’s Name}: 

Pursuant to 68 P.S.§250-512(e), I am providing you with the following forwarding address in writing: 

{Enter Name Street Address City/State/Zip}

My lease terminates on {enter date}. I will be available for a final inspection of the unit at your convenience during the last week of {enter date}. Please contact me to arrange a time for the inspection.

Please forward my full deposit or a list of any damages claimed to be due with a refund of the balance of my security deposit together with accrued interest to the above address within the legal time limit of 30 days. 

Your Signature

Print Your Name
Your Contact Information

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The form letters provided by the Housing Equality Center in this manual are samples intended to guide your drafting of a document meeting your specific situation and is not intended to be a substitute for professional legal assistance. Each situation is different and therefore these form letters can only serve as guide to specific drafting by each user. All information in the form letters herein is provided in good faith, however we make no representation or warranty of any kind, express or implied, regarding the accuracy, adequacy, validity, reliability, availability or completeness of any form letter.

Under no circumstance shall we have any liability to you for any loss or damage of any kind incurred as a result of the use of one or more of the form letters herein or reliance on any information provided on any form. Your use of a form letter and your reliance on any information on a form letter is solely at your own risk which you expressly assume by downloading or otherwise use one or more form letters herein.

Need Assistance?

If you need further assistance please reach out to an attorney or legal aid. See the provided resources below.

Chester, Delaware Montgomery and Bucks counties:
Legal Aid of Southeastern PA | 877-429-5994

Northeastern PA counties:
North Penn Legal Services  | 610-317-8757

Central PA counties: 
Mid Penn Legal Services  | 610-376-8656

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