Record Of Condition Of Apartment House

Apartment Name______________________________ Tenant Name______________________________

House Address _______________________________ Apartment Number ____________________________

Move-in Date ________________________________ Move-out Date _____________________________
 
   
IN
   
OUT
 
CONDITION
CLEAN
DIRTY
DAMAGE
CLEAN
DIRTY
DAMAGE
LIVING ROOM
           
Drapes            
Carpet/Flooring            
Paint            
Lights            
Windows            
Other            
KITCHEN - DINING AREA
           
Refrigerator            
Range            
Sink & Counter Top            
Cabinets            
Flooring            
Paint            
Windows            
Vent Fan            
Other            
BEDROOM
           
Drapes            
Carpet/Flooring            
Closets            
Windows            
Paint            
Lights            
Other            
BEDROOM
           
Drapes            
Carpet/Flooring            
Closets            
Windows            
Paint            
Lights            
Other            
BATHROOM
           
Bath Fixtures            
Vent Fan            
Medicine Cabinet            
Grout            
Flooring            
Paint            
Other            

General Comments: _______________________________________________________________________________________

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________________________________________________________________ ___________________________________
Tenant Signature Date

________________________________________________________________ ___________________________________
Resident Manager/Owner Signature Date