THIS MOVE-IN/MOVE-OUT CHECKLIST is hereby made a part of the Rental Agreement dated __________________, 20____, by and between ________________________________, the Owner/Agent, and _________________________

_________________________, the Resident for the premises located at _____________________________________.

Move-in Date ___________________________ Move-out Date __________________________________

Inspection Date _________________________ Inspection Date _________________________________

1. This checklist is to be completed by the Owner/Agent upon the Resident moving in and moving out of the residence. The Resident is encouraged to be present during inspections.
2. The Resident shall have Three (3) days after taking possession in which to amend this checklist to include any further defects in the property which were unnoticed at the time of the Move-In Inspection. The Resident agrees that failure to notify the Owner/Agent of such further defects in writing within the time specified shall be conclusive proof that there are no further defects and that in fact the Resident has accepted the premises, its furnishings, and appliances in good and satisfactory condition except as noted herein.
3. Upon vacating the premises, the Resident shall leave the premises in the same or better condition as when accepted by the Resident or as they may be put by the Owner/Agent or the Resident, reasonable wear excepted.

	MOVE-IN			MOVE-OUT
ITEM	NEW	GOOD	OTHER	COND.	CHARGE
KEYS	.	.	.	.	.
Mailbox -1	.	.	.	.	.
Door -1	.	.	.	.	.
Dead Bolt -1	.	.	.	.	.
Other #	.	.	.	.	.
KITCHEN (Including CABINETS) - Clean	.	.	.	.	.
Refrigerator - Clean & Working	.	.	.	.	.
2 Ice cube trays	.	.	.	.	.
2 Crispers & glass top	.	.	.	.	.
Light bulb	.	.	.	.	.
Butter dish	.	.	.	.	.
Ice caddy	.	.	.	.	.
Stove - Clean & Working	.	.	.	.	.
Oven racks #	.	.	.	.	.
Broiler pan #	.	.	.	.	.
Light bulb #	.	.	.	.	.
Disposal - Clean & Working	.	.	.	.	.
Disposal top	.	.	.	.	.
Chips or crack in kitchen appliance	.		.	.	.
Condition of counter tops	.	.	.	.	.
Fan, filter & hood - Clean & Working	.	.	.	.	.
BATHROOM #1 - Clean	.	.	.	.	.
Soap dishes, towel bars, shower rod, paper holders secure	.	.	.	.	.
Tub & sink stoppers work	.	.	.	.	.
Plumbing working properly	.	.	.	.	.
Caulking - Clean	.	.	.	.	.
Tiles	.	.	.	.	.
Fan - Clean & Working	.	.	.	.	.
BATHROOM #2 - Clean	.	.	.	.	.
Soap dishes, towel bars, shower rod, paper holders secure	.	.	.	.	.
Tub & sink stoppers work	.	.	.	.	.
Plumbing working properly	.	.	.	.	.
Caulking - Clean	.	.	.	.	.
Tiles	.	.	.	.	.
Fan - Clean & Working	.	.	.	.	.
HEATING & AIR CONDITIONER (s) - Clean & Working	.	.	.	.	.
Filters	.	.	.	.	.
DOORS - Close properly	.	.	.	.	.
WINDOWS - Close & Lock properly	.	.	.	.	.
DOORS & FRAMES - No holes in surfaces	.	.	.	.	.
SCREENS -in windows & windows clean	.	.	.	.	.
CARPET - Clean (Note burns, tears, stains)	.	.	.	.	.
DRAPES, CURTAINS & RODS - at windows	.	.	.	.	.
WINDOW SHADES	.	.	.	.	.
RUBBISH REMOVED (MOVE-OUT)	.	.	.	.	.
LIGHTING FIXTURES - bulbs & tubes	.	.	.	.	.
WALL SURFACES - Clean & free of holes	.	.	.	.	.
DOOR STOPS	.	.	.	.	.
DOOR KNOBS	.	.	.	.	.
NIGHT LOCK (Chain)	.	.	.	.	.
VENTS & REGISTERS	.	.	.	.	.
ELECTRICAL - Outlets & plates	.	.	.	.	.
CLOSET DOORS	.	.	.	.	.
MIRRORS	.	.	.	.	.
SMOKE ALARM (S) - work	.	.	.	.	.
OTHER	.	.	.	.	.

Comments: ________________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________

PERSONAL PROPERTY

The following personal property is also included in the Residence:

ITEM	QUANTITY	BRAND	COLOR	SERIAL #	CONDITION
REFRIGERATOR
STOVE
WASHER
DRYER
CARPET/ FLOORING
DRAPES
SHADES
CEILING FANS

SMOKE DETECTORS

The Resident hereby acknowledges that smoke detectors are located on the premises in the following locations and that said smoke detectors are currently operable: ________________________________________________________________________________ _______________________________________________________________________________________________ Res. Initials

The Resident agrees to maintain said smoke detectors in operable condition at all times. This includes: (1) testing each smoke detector periodically by pushing the test button, (2) if battery operated, replacing the battery or batteries as often as necessary, but at least once per year, and (3) notifying the Owner/Agent immediately of any malfunctioning smoke detector.

THE RESIDENT AGREES that the above information is an accurate account of the condition and contents of said premises and acknowledges receiving a copy hereof. The Owner/Agent reserves the right to add additional charges for damages or uncleanness, which may be discovered after the Resident, vacates the premises.

Move-In Date____________________________________ Move-Out Date ___________________________________

Resident ________________________________________ Resident ________________________________________

Resident ________________________________________ Resident ________________________________________

Owner/Agent ____________________________________ Owner/Agent ____________________________________

FOR OFFICE USE ONLY

Rent due $__________________ Amount of Deposit $____________ Late Charges $ __________________

Less Charges $__________________ Cleaning & Damage Charges $__________ Other Charges $ __________________

Total Charges to Resident $_________________________ Processor ______________________________

Amount of Refund $ ________________ Check # _____________ Date ______________