MOVE-INMOVE-OUT CONDITION REPORT

							Page 1 of 7 MOVE-IN/MOVE-OUT CONDITION REPORT
(Form Revised 13 JUN 2006)

Address of Rental Unit:

___________________________________________________ ___________________________________________________

Instructions: In the applicable column describe any dirty, damaged, or missing items or write in “OK”. If a listed item doesn’t exist, mark it out or write”N/A”. Move-In LIVING ROOM: Floor: Ceiling, light, & fan: Walls, switches, & outlets: Windows & blinds/curtainrods: Move-Out

DEN: Floor: Ceiling, light, & fan: Walls, switches, & outlets: Windows & blinds/curtainrods:

Page 2 of 7 KITCHEN: Floor: Ceiling & lights: Walls, switches, & outlets: Windows & blind/curtainrodss: Cabinets: Counter tops: Stove burners & drip pans: Oven & broiler pan: Refrigerator/Freezer & ice trays: Sink & disposal:

DINING ROOM/AREA: Floor: Ceiling, light, & fan: Walls, switches, & outlets: Windows & blinds/curtainrods:

Page 3 of 7

DOWNSTAIRS HALLWAY: Floor: Ceiling: Walls, switches, & outlets: Closet:

BATHROOM (DOWNSTAIRS): Floor: Ceiling, light, & exhaust fan: Walls, switches, & outlets: Windows & blinds/curtainrods: Tub/Shower (incl curtain rod or doors, if any): Toilet & TP holder: Towel rods/holders: Medicine cabinet & mirror: Cabinets & countertop: Sink(s)/Faucet(s)

Page 4 of 7 STAIRWAY: Floor: Ceiling: Walls, handrail/bannister, switches, & outlets:

UPSTAIRS HALLWAY: Floor: Ceiling: Walls, switches, & outlets: Closet:

BEDROOM (Closest to Stairway): Floor: Ceiling, light, & fan: Walls, switches, & outlets: Windows & blinds/curtainrods: Closet:

Page 5 of 7 BATHROOM (UPSTAIRS HALLWAY): Floor: Ceiling, light, & exhaust fan: Walls, switches, & outlets: Windows & blinds/curtainrods: Tub/Shower (incl curtain rod or doors, if any): Toilet & TP holder: Towel rods/holders: Medicine cabinet & mirror: Cabinets & countertop: Sink(s)/Faucet(s)

BEDROOM (MASTER): Floor: Ceiling, light, & fan: Walls, switches, & outlets: Windows & blinds/curtainrods: Walk-in closet:

Page 6 of 7 BEDROOM (Front): Floor: Ceiling, light, & fan: Walls, switches, & outlets: Windows & blinds/curtainrods: Walk-in closet:

EXTERIOR: Balcony: Front door & storm door: Window screens: Yard:

LAUNDRY: Floor: Ceiling, light, & fan: Walls, switches, & outlets: Windows & blinds/curtainrods: Washer, Dryer, Connections:

Page 7 of 7 BASEMENT: Floor: Lights: Walls, switches, & outlets: Windows: Outside access/door:

COMMENTS:

Tenant(s) who inspected premises and made this report: ___________________________________________ Tenant ___________________________________________ Tenant ___________________________________________ Tenant ___________________________________________ Tenant Acceptance by Landlord or Landlord’s Agent: ___________________________________________ ______________ Date ______________ Date ______________ Date ______________ Date ______________ Date