DEMAND FOR REFUND OF SECURITY DEPOSIT

Date_______________________

To:   Name ________________________________________

        Address ______________________________________

        City/State/ZIP __________________________________

From: Name _________________________________________

        Address _______________________________________

        City/State/ZIP ___________________________________

Dear Landlord:

Please return my/our deposit of $__________ which I/we deposited with you for the dwelling I/we rented from you at

Address __________________________________________

City/State/ZIP  _____________________________________.

You should send my/our security deposit, together with an itemized statement of any deductions from it, to the address provided above, within thirty (30) days from the delivery of this letter.

Sincerely,

Your former tenant(s)

Signature _________________________________________

Signature _________________________________________

Ohio ZIP Code ______________.