Title Page
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Property Address
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Tenant
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Hazards
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Conducted on
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Prepared by
INTERIOR
WINDOWS
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Windows, cupboards and doors are functional and weather-tight. Window and door latches are in place. There is one window stay in each room on ground floor and one window stay on all windows on upper levels? All locks, hinges and hardware on doors are fully functional? PROPERTY CORS
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Details of issue
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Take photo
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Curtains are functional in lounge, dining and bedrooms? PROPERTY CORS
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Details of issue
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Take Photo
SMOKE ALARMS
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All smoke alarms have been tested and are working? EMERGENCY - Less than 2 functional URGENT - At least 2 functional
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Details of issue
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Take photo
LEAKS
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There are no signs of leaks?
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Details of issue
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Take photo
Bathroom/Toilet
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The Bathroom/Toilet has a privacy lock, towel rail and toilet roll holder in Place? PROPERTY CORS
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Details of issue
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Take Phone
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Does the bathroom have a wet area shower?
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Take Photo
Kitchen
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The Stove is fully functional and has an anti-tip device? URGENT - Stove not functioning PROPERTY CORS - No anti-tip device
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Details of issue
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Take photo
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Child proof lock under the kitchen sink and in laundry and bathroom vanity if no storage above 1.2m high? PROPERTY CORS
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Details of issue
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Take photo
Lounge
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The heat source in the living room is functional?
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Details of issue
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Take Photos
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What type of heating is Provided?
- Wood Burner
- Heat Pump
- Wall Panel
- Wall heater
- Other
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Brand
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Take Photo
GENERAL COMMENTS ON INTERIOR
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Cleanliness of interior
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General comments on interior
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Additional photos of interior
EXTERIOR
LIGHTING
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Exterior lighting at front and rear of property functional? PROPERTY CORS
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Details of issue
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Take Photo
CLADDING
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Exterior cladding is intact?
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Details of issue
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Take Photo
SUB-FLOOR
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Does the property have a sub-floor door?
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Is the sub-floor free of rubbish
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Does anything need to be done before a lock is installed?
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Take a photo of the sub-floor door
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Details of work to be done
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Take photos showing work to be done
RAMPS
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Does the property have ramps?
- Front
- Back
- None
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Take photos of ramps
GENERAL COMMENTS ON EXTERIOR
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Maintenance of yard
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General comments on exterior of property
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Additional exterior photos
ADMIN
Tenant Damage
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Is there any tenant damage?
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Details of issue
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Take Photo
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I agree to payments of
- $5
- $10
- $15
- $20
- $25
- $30
- $40
- $50
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Redirection form for tenant damage has been signed by the tenant
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READ TO TENANT:
I accept that the above damage was caused by me and authorise Accessible Properties NZ Ltd to undertake the necessary work to repair the damage caused to the property. I understand the cost for these repairs is my responsibility. -
Tenant's Name
Rent Arrears
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Is the tenant in arrears?
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Details of arrears
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Outcome of arrears discussion
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Amount
- $5
- $10
- $15
- $20
- $25
- $30
- $40
- $50
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Day
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Frequency
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The tenant agrees to
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READ TO THE TENANT:
I agree to make the above payments in addition to my weekly rent.
I will begin making these payments next week on the day agreed to above.
I will continue making these payments until the debt is paid in full.
All money paid will go first to current rent and secondly to rent arrears.
If any payment of current rent or rent arrears payment as outline above is not made within two working day of the due date:
a) The tenancy will end immediately;
b) Vacant possession will be granted to Accessible Properties New Zealand Ltd;
c) Any remaining debt will be due and payable in full immediately; and
d) I understand that I am agreeing to these conditions until the rent arrears are fully repaid. -
Tenant's Name
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Amount
- $5
- $10
- $15
- $20
- $25
- $30
- $40
- $50
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Day
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Frequency
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The tenant agrees to
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READ TO THE TENANT:
I agree to continue making the payments above until the debt is paid in full.
I understand if I do not make the above payments, my Tenancy Manager may apply to to the Tenancy Tribunal to recover the debt and my tenancy may be at risk. -
Tenant's Name
Signatures
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What is the tenant's latest contact number?
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Tenant
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Tenancy Manager