MOVE IN / MOVE OUT INSPECTION REPORT

THIS REPORT is incorporated into, and becomes part of, the Lease Agreement dated the 28 th day of
March 2014 between OWNER NAME (hereinafter called "Owner") and RENTER(S) NAME (regardless of
number, hereinafter called "Resident") .

MOVE-IN CONDITION MOVE-OUT CONDITION

KITCHEN Excellent If not, describe condition Excellent If not OK, describe condition
General Cleanliness
Sink
Faucet
Garbage Disposal
Countertops
Light Fixtures
Cabinets
Range
Refrigerator
Outlets
Walls & Ceilings
Floor
Drain & Supply Lines
BATHROOM Excellent If not, describe condition Excellent If not, describe condition
General Cleanliness
Toilet
Sink
Shower
(Tile/Glass/Fixture)
Vanity & Mirror

Tile Floor
Walls & Ceiling
Outlets
Exhaust
Fan/Heat/Light
Door
 Move-In Condition Move-Out Condition
LIVING AREA Excellent If not, describe condition Excellent If not, describe condition
General Cleanliness
Walls & Ceiling
Vinyl Floor
Light Fixtures
Outlets
Windows
Window Sills
Window Drapes
LARGE BEDROOM Excellent If not, describe condition Excellent If not, describe condition
General Cleanliness
Walls & Ceiling
Vinyl Floor
Light Fixtures
Outlets
Windows
Window Sills
Window Drapes
Door
SMALL BEDROOM Excellent If not, describe condition Excellent If not, describe condition
General Cleanliness
Walls & Ceiling
Floor/Carpet
Light Fixtures
Outlets
Windows
Window Sills
Window Drapes
Door
 INTERIOR APT. ENTRY Excellent If not, describe condition Excellent If not, describe condition

General Cleanliness
Walls & Ceiling
Tile Floor
Light Fixtures
Door
MISCELLANEOUS Excellent If not, describe condition Excellent If not, describe condition
Washer / Dryer

Smoke Detectors

OTHER:

IN WITNESS THEREOF, the Owner and Resident agree that this is the condition of the Premises on this
28th day of March 2014 and have affixed their signatures as acknowledgement that Resident shall be held
responsible for any negative change in condition, damages due to neglect, and misuse or abuse of the
Premises directly attributable to their residency.

_________________________________ ______________________________________ ________________________________

OWNER SIGNATURE RESIDENT SIGNATURE (1) RESIDENT SIGNATURE (2)

_________________________________ ______________________________________ ________________________________

OWNER PRINTED NAME RESIDENT PRINTED NAME (1) RESIDENT PRINTED NAME (2)