Date* MM slash DD slash YYYY TO:*Address*Insert address of tenant's last known addressThis is a notice of the Landlord's intention to impose a claim for damages upon your security deposit. It is sent to you as required by section 83.49(3), Florida Statutes. You are hereby notified that you must object in writing to this deduction within 15 days from the time you receive this notice or the Landlord will be authorized to deduct its claim from your social security deposit. Your objection must be sent to the Landlord at the address below.Owner/Agent Printed Name* Owner/Company Name, Address and Telephone Number*Amounts Held by Landlord* Insert Security Deposit, Last Month's Rent, OtherAmounts Owed by Tenant to Landlord*List separately Rent due, Damages, Extraordinary Cleaning and Others. Certificate of ServiceI hereby certify that a copy of the above notice was: Mailed by Certified Mail On date: By Owner/Agent: PDF Preview CAPTCHA