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Deposit deduction statement template

Reviewed against the Regulatory Provisions governing the landlord and tenant relationship — Regulator: Real Estate General Authority — Last reviewed: 6 November 2026

Reviewed against the Civil Transactions Law — Regulator: Ministry of Justice — Last reviewed: 6 November 2026

This template follows the law of Saudi Arabia, not the law of the United States or any other country. Naming the regulator identifies the law that applies; it does not mean the regulator approved this template. This is a general template and does not replace advice on your own case.

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Preview — Organised table

Security Deposit Deduction Statement

Date: Date

Deductions from the security deposit on move-out, based on the inspection record dated Inspection Date.

Details

| Item | Details |

| --- | --- |

| Tenant Name | Tenant Name |

| Unit Number | Unit Number |

| Ejar Contract Number | Ejar Contract Number |

| Move-out Date | Move-out Date |

| Deposit Amount | Deposit Amount |

Deductions

| No. | Item | Reason | Amount |

| --- | --- | --- | --- |

| 1 | Item 1 | Reason 1 | Amount 1 |

| 2 | Item 2 | Reason 2 | Amount 2 |

| 3 | Item 3 | Reason 3 | Amount 3 |

| 4 | Item 4 | Reason 4 | Amount 4 |

| 5 | Item 5 | Reason 5 | Amount 5 |

Net

| Item | Details |

| --- | --- |

| Total Deductions | Total Deductions |

| Amount Refunded | Amount Refunded |

| Refund Method | Refund Method |

| Refund Date | Refund Date |

Landlord: Landlord

Signature: Signature

Tenant (received): Tenant (received)

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