Your Name Your Address
Date
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.
Sincerely,
Your Signature
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Your Contact Information