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LIVING ROOM Floor & Floor Covering Walls & Ceiling Door(s) Door Lock(s) & Hardware Lighting Fixture(s) Window(s) & Screen(s) Window Covering(s) Smoke Alarm Carbon Monoxide Alarm Fireplace Kitchen Floor & Floor Coverings Walls & Ceiling Door(s) Door Lock(s) and Hardware Window(s) & Screen(s) Window Covering(s) Light Fixture(s) Cabinets Counters Stove/Oven/Range Hood Refrigerator Dishwasher Sink(s) & Plumbing Garbage Disposal Fire Extinguisher Other ITEM Instructions: Tenant(s) complete(s) this checklist within three days of moving in and tenant(s) and landlord or manager review property and completed checklist together and mutually agree on the condition of the property upon move-in by signing this form. Each party keeps a copy of signed checklist. Tenant(s) and landlord or manager uses the move-in checklist during the pre-move out inspection and again when determining if any of the tenant’s deposit will be retained for cleaning or repairs after move-out. BE SPECIFIC and DETAILED when filling out the checklist. Property Address Landlord/Manager Name (Print) CONDITION ON ARRIVAL CONDITION ON DEPARTURE Tenant Name (Print) Tenant Name (Print) Tenant Name (Print) Tenant Name (Print) Tenant Name (Print) Condition of Rental Property Checklist Page 1 ---PAGE BREAK--- DINING ROOM Floor & Floor Covering(s) Walls & Celing Light Fixture(s) Window(s) & Screen(s) Window Covering(s) Other Bathroom #1 Floors & Floor Covering(s) Walls & Ceilings Counters & Surfaces Window(s) & Screen(s) Window Covering(s) Sink & Plumbing Bathtub/Shower Toilet Light Fixture(s) Door(s) Door Lock(s) & Hardware(s) Other Bathroom #2 Floor & Floor Covering(s) Walls & Ceiling Counters & Surfaces Window(s) & Screen(s) Window Covering(s) Sink & Plumbing Bathtub/Shower Toilet Light Fixture(s) Door(s) Door Lock(s) & Hardware(s) Other ITEM CONDITION ON ARRIVAL CONDITION ON DEPARTURE CONDITION OF RENTAL PROPERTY CHECKLIST Page 2 ---PAGE BREAK--- Bedroom #1 Floor & Floor Covering(s) Walls & Ceiling Window(s) & Screen(s) Window Covering(s) Closet(s), including Doors & Tracks Lighting Fixture(s) Smoke Alarm Carbon Monoxide Alarm Door(s) Door Lock(s) & Hardware Bedroom #2 Floor & Floor Covering(s) Walls & Ceiling Window(s) & Screen(s) Window Covering(s) Closet, including Doors & Tracks Lighting Fixtures Smoke Alarm Carbon Monoxide Alarm Door(s) Door Lock(s) & Hardware Bedroom #3 Floor & Floor Covering(s) Walls & Ceiling Window(s) & Screen(s) Window Covering(s) Closet, including Doors & Tracks Lighting Fixtures Smoke Alarm Carbon Monoxide Alarm Door(s) Door Lock(s) & Hardware Hall Smoke Alarm Carbon Monoxide Alarm ITEM CONDITION ON ARRIVAL CONDITION ON DEPARTURE CONDITION OF RENTAL PROPERTY CHECKLIST Page 3 ---PAGE BREAK--- MOVE-IN INSPECTION DATE: Owner/Agent Signature Tenant Signature Tenant Signature Tenant Signature Tenant Signature Tenant Signature MOVE-OUT INSPECTION DATE: Owner/Agent Signature Tenant Signature Tenant Signature Tenant Signature Tenant Signature Tenant Signature Other Heating System Air Conditioning Stair(s) Hallway(s) Lawn(s) & Garden(s) Patio, Terrace, Deck, etc Parking Area(s) Other Other Other Other # of Keys Received: • Tenants acknowledge that all smoke alarms, carbon monoxide alarms, and fire extinguishers were tested in their presence and found to be in working order, and that the testing procedure was explained to them. Tenants agree to test all detectors at least once a month and to report any problems to Landlord/Manager in writing. Comments: ITEM CONDITION ON ARRIVAL CONDITION ON DEPARTURE CONDITION OF RENTAL PROPERTY CHECKLIST Revised 2/14 Page 4