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The CFB003NYC form serves as a vital tool for tenants in New York City who find themselves in disputes with their landlords regarding security deposits. This form is specifically designed for tenants who have made genuine attempts to resolve their issues directly with their landlords but have met with resistance or lack of response. It addresses several key concerns: whether a landlord has failed to return a security deposit, neglected to place security deposits in a trust account, or failed to pay the required interest on such deposits. Tenants must provide essential details, including their current address, the address of the apartment involved, and information about the landlord or managing agent. Additionally, the form requires tenants to specify the nature of their complaint and to provide evidence of their lease and any payments made toward the security deposit. It is crucial to note that each tenant must submit a separate form, ensuring that every complaint is addressed individually. By filing this form, tenants are not only seeking resolution but are also engaging in a process that upholds their rights under the law.

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The Attorney General investigates complaints that a landlord has failed to place security deposits in trust accounts or to pay interest on rent security deposits. We also try to assist tenants who complain that a landlord failed to return the rent security when the tenant moved out. If, however, the landlord refuses to return your security deposit because your landlord says that you failed to pay rent or damaged the apartment, you must generally go to Small Claims Court to resolve the dispute. Before forwarding this complaint to our office, you must attempt to resolve the matter with your landlord.

Please complete this form only if your attempt to resolve your complaint with the landlord has been unsuccessful. Each tenant should submit a separate complaint form. You may duplicate this form or obtain additional copies from our office.

Be sure to attach a copy (NOT THE ORIGINAL) of your lease, receipt or other evidence that you paid a security deposit and any other pertinent letters or documents.

PLEASE PRINT

1.YOUR NAME: ADDRESS (CURRENT)

 

 

 

Street No.

 

 

Apt. No.

 

 

 

 

 

 

 

 

 

 

 

 

City

State

Zip Code

 

TELEPHONE:

HOME

 

 

BUSINESS

 

 

 

 

 

ADDRESS OF APARTMENT INVOLVED, IF DIFFERENT FROM CURRENT ADDRESS: Apt. No.

 

 

 

 

 

 

 

 

 

 

 

Street No.

 

City

 

State

 

Zip Code

 

2.FORMER OR CURRENT LANDLORD INVOLVED IN THIS COMPLAINT:

ADDRESS

 

 

TEL.:

 

 

Street No.

City

State

Zip Code

3. MANAGING AGENT'S NAME:

 

 

 

ADDRESS:

 

 

TEL.:

 

 

Street No.

City

State

Zip Code

4.APPROXIMATE NUMBER OF APARTMENTS IN BUILDING:

5.YOUR COMPLAINT CONCERNS:

()

()

()

Landlord failed to return rent security deposit.

Landlord failed to place security deposits in trust account. Landlord failed to pay interest on security deposit.

6.

(a) AMOUNT OF SECURITY DEPOSIT AND DATE PAID: $

 

Date:

 

(b) MOST RECENT MONTHLY RENT: $

 

 

 

 

CFB003NYC - (REV. 10/12)

1

7.(a) DATE YOU MOVED INTO APARTMENT:

 

(b) DATE YOU MOVED OUT OF APARTMENT (if applicable):

 

(c) TERM OF FIRST LEASE:

 

 

 

 

 

to

 

 

 

 

 

 

 

 

8.

YOUR APARTMENT IS:

(

)

Rent Controlled

( )

Rent Stabilized

9.Date you complained to the landlord:

 

Person contacted:

 

 

By phone:

 

Letter:

 

 

 

 

In person:

 

Other:

 

 

 

 

 

 

 

 

 

 

 

 

 

10.

Have there been any court proceedings regarding your rent security deposit?

 

(

)

Yes

(

)

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Has there been any other litigation concerning your apartment? If so, briefly summarize the issues.

11.If the building has changed landlords during your residence, please list them in order, starting with first. Use your recollection or your own records (such as rent checks or receipts) to prepare the list. Feel free to add a page if more space is needed.

LANDLORD'S NAME, ADDRESS

PERIOD OF OWNERSHIP

 

MANAGING AGENT'S NAME,

AND TELEPHONE NUMBER

FROM -- TO

ADDRESS & TELEPHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.Indicate the amount of interest, if any, you have received on your security deposit and the period involved.

SPACE FOR ADDITIONAL INFORMATION, ANSWERS OR COMMENTS:

IMPORTANT: In order to resolve your complaint, we may send a copy of this form to the parties you have named.

In filing this complaint, I understand that the Attorney General is not my private attorney, but represents the public in enforcing laws designed to protect the public from misleading or unlawful business practices. I also understand that if I have any questions concerning my legal rights or responsibilities, I should contact a private attorney. I have no objection to the contents of this complaint being forwarded to the landlord the complaint is directed against. The above complaint is true and accurate to the best of my knowledge.

I also understand that any false statements made in this complaint are punishable as a Class A Misdemeanor under Section 175.30 and/or Section 210.45 of the Penal Law.

DATE:

 

TENANT'S SIGNATURE:

CFB003NYC - (REV. 10/12)

2

 

Form Characteristics

Fact Name Fact Details
Purpose The CFB003NYC form is used to file complaints against landlords regarding security deposit issues.
Governing Law New York State law governs the handling of security deposits and related disputes.
Complaint Submission Tenants must attempt to resolve issues with their landlord before submitting this form.
Separate Forms Each tenant is required to submit a separate complaint form for their individual issues.
Required Attachments Tenants must attach copies of their lease and any evidence of payment for the security deposit.
Legal Representation The Attorney General does not represent individuals but enforces public laws regarding landlord practices.
False Statements Providing false information on the form can result in criminal charges under New York Penal Law.
Interest on Deposits Tenants must indicate if they received interest on their security deposit and the relevant period.
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