[check one]
[check one]
Area (if not applicable, indicate N/A)
Detailed Condition at Move-In
Detailed Condition at Move-Out
Good
Fair
Poor
Good
Fair
Poor
Doors (including locks)
Light fixtures
Closet/shelves
Other:
LIVING ROOM
Floors/carpet/linoleum/other floor covering
Walls
Ceiling
Windows (including locks)
Window coverings: Type _______________
Doors (including locks)
Light fixtures
Closet/shelves
Fireplace: Last cleaned _______________
Other:
DINING ROOM
Floors/carpet/linoleum/other floor covering
Walls
Ceiling
Windows (including locks)
Window coverings: Type _______________
Doors (including locks)
Light fixtures
Other:
BATHROOM
Floors/carpet/linoleum/other floor covering
Walls/Tile
Ceiling
Window coverings: Type _______________
Doors (including locks)
Light fixtures
Exhaust fans/heater
Counters/cabinet
Mirrors
Sinks/Faucet
Plumbing (sink drains)
Tub/shower
Shower head/tub faucet
Towel racks
Last revised June 6, 2011
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