Form SC-5 "Security Deposit Disposition" - Arizona

What Is Form SC-5?

This is a legal form that was released by the Arizona Department of Housing - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 23, 2012;
  • The latest edition provided by the Arizona Department of Housing;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form SC-5 by clicking the link below or browse more documents and templates provided by the Arizona Department of Housing.

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Download Form SC-5 "Security Deposit Disposition" - Arizona

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Arizona Public Housing Authority 
 
SECURITY DEPOSIT DISPOSITION
Property Name:
Resident Name:
Reason For Moving:
Unit No:
Date 30-Day Notice Provided:
Actual Move-Out Date:
Deposit Information
Original Deposit Date:
List and describe all deposits (security, pet, etc.)
$
$
$
Total Deposits
$
Charges
Unpaid Rent/Late Fees/Other Charges under Lease
$
Damages Total - itemize or attach separate list
$
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Forfeiture (less than 30 day notice provided)
$
Total Charges
$
Deposit Refund/Amount Due
Amount Refunded to Resident or Estate
$
on (date)
Amount Due from Resident
$
received (date)
or explain status below
Comments/Additional Explanation
Signature
Date
SC-5 (3.23.2012)
Arizona Public Housing Authority 
 
SECURITY DEPOSIT DISPOSITION
Property Name:
Resident Name:
Reason For Moving:
Unit No:
Date 30-Day Notice Provided:
Actual Move-Out Date:
Deposit Information
Original Deposit Date:
List and describe all deposits (security, pet, etc.)
$
$
$
Total Deposits
$
Charges
Unpaid Rent/Late Fees/Other Charges under Lease
$
Damages Total - itemize or attach separate list
$
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
Forfeiture (less than 30 day notice provided)
$
Total Charges
$
Deposit Refund/Amount Due
Amount Refunded to Resident or Estate
$
on (date)
Amount Due from Resident
$
received (date)
or explain status below
Comments/Additional Explanation
Signature
Date
SC-5 (3.23.2012)