Rent Deposit Checklist – Ohio Court

The Rent Deposit Checklist is a form used by tenants and landlords to document necessary details before a tenant deposits their rent with the Clerk of Courts. This bilingual (English/Spanish) checklist ensures that all necessary steps and communications between tenant and landlord are properly recorded to comply with legal requirements. This checklist helps maintain clear communication and ensures both parties are aware of their responsibilities and the status of rent payments and property conditions.

This guide will help you complete the Rent Deposit Checklist form accurately. Ensure all sections are filled out to avoid any legal issues.

Section 1: Personal Information

Tenant’s Name

• Write your full name in the space provided.

Landlord’s Name

• Write the full name of your landlord.

Tenant’s Address

• Provide your current residential address.

Landlord’s Address

• Provide the address of your landlord.

Phone Numbers

• Write your phone number in the tenant’s section.
• Write your landlord’s phone number in the landlord’s section.

Section 2: Notice of Conditions

Written Notice

1. • Check “YES” or “NO” to indicate if you have given a written notice to your landlord about conditions that need correcting.

Attach Notice

1. • Attach a copy of the notice you gave to your landlord.

Date of Notice

1. • Fill in the date when the notice was given to the landlord.

Section 3: Timeline and Payments

30-Day Period

• Check “YES” or “NO” to indicate if 30 days have passed since you gave the notice to your landlord.

Last Month’s Rent

• Check “YES” or “NO” to confirm if you paid the last month’s rent in full to the landlord.
• Write the amount paid for the last month’s rent in the provided space.
• Fill in the date when the last month’s rent was paid.

Next Rent Due Date

• Write the due date for the next rent payment.

Lease Agreement

• Check “Written” or “Oral” to indicate the type of lease agreement you have with your landlord.

Late Rent

• Specify when rent is considered late according to your lease agreement.

Section 4: Landlord Actions

3-Day Notice

• Check “YES” or “NO” to indicate if the landlord has issued a 3-day notice to you.
• If “YES,” provide the date when the 3-day notice was served.

Water Disconnection Notice

• Check “YES” or “NO” to indicate if you have provided a Water Disconnection Notice to your landlord.
• Attach a copy of the Water Disconnection Notice if applicable.

Conditions Needing Correction

• Check “YES” or “NO” to indicate if there are conditions that need correcting by the landlord.
• If “YES,” follow the format provided earlier in the form to list these conditions.

Section 5: Compliance and Final Steps

HCS and Date

• Have the HCS (Housing Counselor or Supervisor) sign and date this section.

File Copy

• Check “YES” or “NO” to indicate if a copy of the checklist has been placed in the file.

Make sure all the information is accurate and that you have attached all required documents. This completed form will help ensure clear communication and proper legal compliance.