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ot n,present yo,.s selec!l0'1 or exeaJ11011 ol ttus form as appropriata for yo,.s apeclc c:n,.,mllreel
Floors ✓
I/'
Walls v
Ceiling
/
Cabinets
✓
Stove/Oven/Broiler ✓
Refrigerator
I
Dishwasher
I
Disposal
ivl~
Lights
v
°<f:,O(), \,J / a.. t-€v-:> (\i llz.s,
Sink/Counters ✓ ~ r\ l-tv" <... ~
Windows/Tracks/Screens ✓
Doors
I {l_j'>lc..J 'y..j((>..f t +(0,. f
Other
C RHA 2009 For use by current RHA members only No representatoon ,s made as to the suffic,ency or tax consequences from use of th,s form
Living room, Dining
area & Hallways Good Fair Poo, Def.
1c1enc1es ucon Move- n Good Fair Poo, Def1ciencies ucon Move-0 ut
Floors/Carpet /
V
Walls ./
Ceiling V
Ughts ✓
cv~ 'av\ ov+, o{~v\-<--
yl)C\t\r- \~ ~ ~
u
Drapes I✓
Other
Bathroom (1) Good Fair Poo, Deficiencies upon Move-In Good Fair Poor Deficiencies upon Move-Out
7-,~ ' # r \c..~
Floor
✓
Walls I
Ceiling I
SinkNanity
I
Tub/Shower
v-
Tile/Grout ✓
Vent fan
Lights j
Toilet(s)
✓
Page2ot5
Move-In Initials: Owner/Agent: Tenant: (f..
Move-Out Initials: OWner/Agent: _ _ _
Good F• Poor Deficiencies uoon Move-In Good F• Poor Deficiencies uoon Move-Out
Towel racks/Accessories /
Cabinets /
Windowl/Tracks/Screens I
Door(s) /
Other
Bathroom (2) ~~ Fair Poor Deficiencies upon Move-In Good Fair Poor Deficiencies uoon Move-Out
Floor
Walls
Ceiling
SinkNanity
Tub/Shower
Tile/Grout
Vent fan
Ughts
Toilet(s)
Bedroom (1) Good Fair Poor Deficiencies uoon Move-In Good Fair Poor Deficiencies upon Move-Out
'f'J¼ ✓ \t.~ (:(I 'OIV'- y(-t.\) ~o-> S
Floor/Carpet
✓ ~ r 1,\0(./Q... I b .\.\, ,of ir--
Walls
I
Ceiling Ii
Move-In Initials: Owner/Agent: Tenant: r7-.
Page Joi 5
Move-Out Initials: Owner/Agent: _ __
Good Fair Poo, Def.
1c1enc1es upon Move- n Good Fair Poor Deficiencies upon Move-Out
Lights
I
Blinds/Drapes
✓
Windows/Tracks/Screens /
Closets ./
Doors I
Other
Bedroom (2) Good Fair Poor Deficiencies upon Move-In Good Fair Poor Deficiencies upon Move-Out
f'v\i>.l)t) ;l'.o~ "? {-tv ~OU 5
Floor/Carpet
✓ WI v-.ftvl-t...
Walls
v
Ceiling
II
Lights
Blinds/Drapes I
Windows/Tracks/Screens
j
Closets
j
Doors I/
Other
Bedroom (3) Fair Poor Deficiencies upon Move-In Good Fair Poor Deficiencies upon Move-Out
Floor/Carpet
Walls
Celling
Ughts
Blinds/Drapes
Windows/Tracks/Screens
Closets
Doors
Other
Lanai/Balcony
Storage Area
Water tank
Smoke detector
TV Cable
Other
IN-le have inspected the above unit prior to occupancy and accept it with the conditions noted. IN-le understand that upon vacating the above
unit, charges will be assessed for cleaning required. Repair and replacement costs resulting from resident negligence will also be added.
Owne</Agen1 and Tenan1are each advised to seek independent legal advice on matters ans,ng from use of this form.
MOVE U . - - - - - -
~ Date
Owner/Agent Date
MOVE-OUT
Owner/Agent Date
This checklist is pursuant to Washington State Landlord/Tenant Law, RCW 59.18.260. Both tenant and owner/agent should retain a signed copy of
the completed inspection report as part of your rental agreement.
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