Title Page
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Tenant Name
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Property/ Unit #
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Location
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Move In Date
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Move Out Date
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Landlord/ Manager
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Date of Inspection
LIVING ROOM
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Floor
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Walls
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Ceiling
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Doors
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Windows
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Screens
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Shades
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Closet
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Elec Fix.
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Light bulbs
KITCHEN
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Floor
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Walls
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Ceiling
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Doors
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Windows
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Screens
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Curtain
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Cabinets
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Drawers
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Sink
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Counters
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Fan/Light
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Elec Fix.
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REFRIGERATOR
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Inside/parts
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Outside
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Light
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STOVE/ OVEN
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Outside Mirror
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Burners
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Vent
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Timer/Controls
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Surface
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Light
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Racks
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Drip
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DISHWASHER
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Inside/ parts
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Outside
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Controls
BATHROOM
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Click add bathroom to conduct an inspection
Bathroom
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Floors & Floor Covering(s)
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Walls & Ceilings
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Counters & Surfaces
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Window(s) & Screen(s)
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Window Covering(s)
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Sink & Plumbing
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Bathtub/Shower
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Toilet
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Light Fixture(s)
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Door(s)
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Door Lock(s) & Hardware(s)
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Inside Drawers
BEDROOM
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Click add bathroom to conduct an inspection
Bedroom
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Floor & Floor Covering(s)
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Walls & Ceiling
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Window(s) & Screen(s)
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Window Covering(s)
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Closet(s), including Doors & Tracks
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Lighting Fixture(s)
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Smoke Alarm
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Door(s)
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Door Lock(s) & Hardware
ENTRANCE/ HALL
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Floor
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Walls
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Ceiling
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Doors
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Windows
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Screens
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Closet
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Shades/Blinds
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Elec Fix.
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Light bulbs
FRONT PORCH
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Elec Fix
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Light bulbs
BACK PORCH
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Elec Fix
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Light Bulbs
GARAGE
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Floor
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Walls
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Ceiling
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Elec Fix.
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Light bulbs
MECHANICAL
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Water Heater
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Smoke Det.
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Thermostat
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Furnace
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A/C
COMPLETION
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I/We (the tenant(s)) understand that unless otherwise noted, all discrepancies will be the tenant's responsibility and will be deducted from the security deposit at the time of move-out.
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Name & Signature of Tenant(s)
Tenant
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Tenant Name & Signature
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Landlord and Tenant acknowledge that photos have been taken of the premises. The original copies/files are in the possession of the Landlord/ Tenant.
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Landlord's Name & Signature