Street Address ______________________________________
Unit Number ________ City __________________________
Floors & Floor Coverings
Condition on Arrival ___________________________________
Condition on Departure __________________________________
Estimated Cost of Repair/Replacement ____________________
Drapes & Window Coverings
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Walls & Ceilings
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Light Fixtures
Condition on Arrival ___________________________________
Condition on Departure __________________________________
Estimated Cost of Repair/Replacement ____________________
Windows, Screens & Doors
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Front Door & Locks
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Fireplace
Condition on Arrival ___________________________________
Condition on Departure ________________________________
Estimated Cost of Repair/Replacement ____________________
Other ________________________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other ________________________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Floors & Floor Coverings
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Walls & Ceilings
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Light Fixtures
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Cabinets
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Counters
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Stove/Oven
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Refrigerator
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Dishwasher
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Garbage Disposal
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Sink & Plumbing
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Windows, Screens & Doors
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Floors & Floor Covering
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Walls & Ceiling
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Light Fixtures
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Windows, Screens & Doors
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Floors & Floor Coverings
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Walls & Ceilings
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Windows, Screens & Doors
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Light Fixtures
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Bathtub/Shower
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Sink & Counters
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Toilet
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Walls & Ceilings
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Windows, Screens & Doors
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Light Fixtures
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Bathtub/Shower
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Sink & Counters
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Toilet
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Floors & Floor Coverings
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Windows, Screens & Doors
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Walls & Ceilings
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Light Fixtures
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Floors & Floor Coverings
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Windows, Screens & Doors
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Walls & Ceilings
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Light Fixtures
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Floors & Floor Coverings
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Windows, Screens & Doors
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Walls & Ceilings
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Light Fixtures
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Furnace/Heater
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Air Conditioning
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Lawn
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Garden
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Patio, Terrace, Deck, etc.
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
__ Tenants acknowledge that all smoke detectors were tested in their presence and found to be in working order, and that the testing procedure was explained to them. Tenants agree to test all detectors at least once a month and to report any problems to Landlord/Manager in writing. Tenants agree to replace all smoke detector batteries as necessary.
Coffee Table
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
End Tables
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Lamps
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Chairs
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Sofa
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Broiler Pan
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Ice Trays
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Cost of Repair/Replacement ____________________
Chairs
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Stools
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Table
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Mirrors
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Shower Curtain
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Hamper
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Dresser Tables
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Mirrors
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Shower Curtain
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Hamper
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Beds (single)
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Beds (double)
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Chairs
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Chests
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Dressing Tables
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Lamps
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Mirrors
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Night Tables
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Bookcases
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Desks
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Pictures
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Condition on Arrival ___________________________________
Condition on Departure _________________________________
Estimated Cost of Repair/Replacement ____________________
Other _______________________
Use this space to provide any additional explanation:
Landlord-Tenant Checklist completed on moving in on ____________________, 199_____, and approved by:
Landlord-Manager ____________________________
Tenant ____________________________
Tenant ____________________________
Tenant ____________________________
Landlord-Tenant Checklist completed on moving out on ___________________, 199_____, and approved by:
Landlord-Manager ____________________________
Tenant ____________________________
Tenant ____________________________
Tenant ____________________________