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1. Receipt Details: Date of receipt and unique receipt number for reference and record-keeping
2. Party Information: Full legal names and addresses of both the party refunding the deposit and the party receiving the refund
3. Original Deposit Information: Details of the original deposit including date received, amount, and purpose
4. Refund Amount: Clear statement of the exact amount being refunded in both numbers and words
5. Payment Method: Specification of how the refund was provided (e.g., cash, check, wire transfer, etc.)
6. Confirmation of Receipt: Express acknowledgment of receiving the refund amount in full
7. Release Statement: Statement confirming that this refund settles all claims related to the original deposit
8. Signatures: Space for dated signatures of both parties
1. Partial Refund Declaration: Required when only a portion of the original deposit is being refunded, explaining the reason for partial refund
2. Third Party Authorization: Needed when the refund is being collected by someone other than the original depositor
3. Conditions or Terms: Any specific conditions attached to the refund, if applicable
4. Tax Implications Statement: Required when the refund has potential tax consequences that need to be acknowledged
5. Dispute Resolution: Optional clause for addressing any future disputes regarding the refund
1. Schedule A - Payment Details: Detailed breakdown of the refund calculation, especially if there are deductions or adjustments
2. Schedule B - Supporting Documents: Copies of original deposit receipt, relevant correspondence, or other supporting documentation
3. Schedule C - Bank Transfer Details: If payment is by bank transfer, details of the transaction including reference numbers
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