Move-In
Move-Out
Cost
Move-In
Move-Out
Cost
BEDROOM #1
DINING ROOM
Floor
Floor
Walls
Walls
Ceiling
Ceiling
Doors
Doors
Windows
Windows
Screens
Screens
Closet
Move-In
Move-Out
Cost
Shades/Blinds
FRONT PORCH
Elec Fix.
Elec Fix.
Light bulbs
Light bulbs
Move-In
Move-Out
Cost
Move-In
Move-Out
Cost
BEDROOM #2
BACK PORCH
Floor
Elec Fix.
Walls
Light bulbs
Ceiling
Move-In
Move-Out
Cost
Doors
GARAGE
Windows
Floor
Screens
Walls
Closet
Ceiling
Shades/Blinds
Elec Fix.
Elec Fix.
Light bulbs
Light bulbs
Move-In
Move-Out
Cost
MECHANICAL
Move-In
Move-Out
Cost
BEDROOM #3
Water Heater
Floor
Smoke Det.
Walls
Thermostat
Ceiling
Furnace
Doors
A/C
Windows
Move-In
Move-Out
Cost
Screens
# OF KEYS
Closet
Front Door
Shades/Blinds
Mailbox
Elec Fix.
other: __________
Light bulbs
Comments:
Move-In
Move-Out
Cost
ENTRANCE/HALL
Floor
Walls
Ceiling
Doors
Windows
Screens
Closet
Shades/Blinds
Elec Fix.
Light bulbs
Move-Out
Move-In
Date: _____________
Signature: _______________________ / _______________________
Date: _____________
Date: _____________
Signature: _______________________ / _______________________
Date: _____________
Date: _____________
Signature: _______________________ / _______________________
Date: _____________
I/We (the tenant(s)) understand that unless otherwise noted, all discrepancies will be the tenant's
tenant's responsibility and will be deducted from the security deposit at the time of move-out.
Move-In
Move-Out
Date: _____________
Date: _____________
Landlord/Agent Signature: ___________________________ Landlord/Agent Signature: ___________________________
Landlord and Tenant acknowledge that video and/or
Tenant's Forwarding Address:
photos (digital or otherwise) have been taken of the
__________________________________________
premises. The original copies/files are in the possession
of the
Landlord /
Tenant.
__________________________________________
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