*Important: Complete this form in duplicate.
It is in the interests of both the landlord and the tenant to assure that
this is done correctly. This form is to provide an accurate record
of condition of rented property from the date tenancy begins until termination.
The form should be signed by both the tenant and the landlord. Each
party should retain one copy as a permanent record.
Name of Tenant(s)
1. ___________________________________________________ 2. ___________________________________________________ 3. ___________________________________________________
|
Apartment Number: ____________________________________
Key(s) Issued:
|
KITCHEN |
|
|
Stove/hood | - | - |
Fridge | - | - |
Countertops and Sink | - | - |
Cupboards and Doors | - | - |
Walls and trim | - | - |
Floor covering | - | - |
Ceiling | - | - |
Windows and Screens | - | - |
Electrical Fixtures | - | - |
LIVING/DINING ROOM |
|
|
Drapes | - | - |
Walls and Trim | - | - |
Floor Covering | - | - |
Ceilings | - | - |
Windows and Screens | - | - |
Electrical Fixtures | - | - |
BEDROOM 1 |
|
|
Walls and Trim | - | - |
Closets and Doors | - | - |
Floor Covering | - | - |
Ceiling | - | - |
Drapes | - | - |
Windows/Screens | - | - |
Electrical Fixutres | - | - |
BEDROOM 2 |
|
|
Walls and Trim | - | - |
Closets and Doors | - | - |
Floor Covering | - | - |
Ceiling | - | - |
Drapes | - | - |
Windows/Screens | - | - |
Electrical Fixutres | - | - |
BEDROOM 3 |
|
|
Walls and Trim | - | - |
Closets and Doors | - | - |
Floor Covering | - | - |
Ceiling | - | - |
Drapes | - | - |
Windows/Screens | - | - |
Electrical Fixutres | - | - |
BATHROOM(S) |
|
|
Walls and Trim | - | - |
Floor Covering | - | - |
Toilet | - | - |
Bathtub/Shower | - | - |
Sink/Vanity/Mirrors | - | - |
Ceiling/Fan | - | - |
Electrical Fixtures | - | - |
Door | - | - |
GENERAL |
|
|
Balcony | - | - |
Patio Door/Screen | - | - |
Garage/Parking | - | - |
Doors/Screens | - | - |
Stair/Stairwell/Hallway | - | - |
Yard Space | - | - |
Smoke Detector(s) | - | - |
Fire Extinguisher(s) | - | - |
Washer/Dryer | - | - |
Storage Room | - | - |
IN: | OUT: |
Landlord's Signature:__________________________________
Date: ________________________________________________
Tenant(s) Signature(s): 1. ___________________________________________________ 2. ___________________________________________________ 3. ___________________________________________________
|
Landlord's Signature:__________________________________
Date: ________________________________________________
Tenant(s) Signature(s): 1. ___________________________________________________ 2. ___________________________________________________ 3. ___________________________________________________
|
Tenant(s) Forwarding Address | 1. ___________________________________________________
2. ___________________________________________________ 3. ___________________________________________________ |