Title Page
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Apartment/Unit Name
Tenant/Lessor
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Conducted on
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Prepared by
Weekly Inspection
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Entry
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Living Room
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Dining / Kitchen Room
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Bedroom #1
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Bathroom #1
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Bedroom #2
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Bathroom #2
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Unit Received a 24 Hours notice for Uncleanliness of Unit
Completion
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Additional Comments
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Inspected by: (Name and Signature)