[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
Toilet
Toilet paper holder
Other:
BEDROOM #1
Floors/carpet/linoleum/other floor covering
Walls
Ceiling
Windows (including locks)
Window coverings: Type _______________
Doors (including locks)
Light fixtures
Closet
Other:
BEDROOM #2
Floors/carpet/linoleum/other floor covering
Walls
Ceiling
Windows (including locks)
Window coverings: Type _______________
Doors (including locks)
Light fixtures
Closet
Other:
OTHER ROOM
Floors/carpet/linoleum/other floor covering
Walls
Ceiling
Windows (including locks)
Window coverings: Type _______________
Doors (including locks)
Light fixtures
Closet/shelves
Other:
ENTRY / HALL / STAIRS
Floors/carpet/linoleum/other floor covering
Walls
Ceiling
Windows (including locks)
Last revised June 6, 2011
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