Inventory And Condition Report
Unit Address

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Instructions: Beside each item indicate "Damaged" (describe), Torn, Dirty, Missing, Stained, etc., in the Move-In column. The property owner/manager and tenant must sign prior to moving in. Any item left blank or not mentioned, is assumed to be in acceptable condition.

MOVE-IN LIVING ROOM Walls Ceiling Floor Carpet Drapes Blinds Lt. Fixtures Screens Other DINING ROOM Walls Ceiling Floor Carpet Drapes Blinds Lt. Fixtures Screens Other KITCHEN Walls Ceiling Floor Carpet Drapes Blinds Lt. Fixtures Screens Other HALLWAY Walls Ceiling Floor Carpet Drapes Blinds Lt. Fixtures Screens Other LIVING ROOM Walls Ceiling Floor Carpet Drapes Blinds Lt. Fixtures Screens Other BATH Walls Ceiling Floor Carpet Drapes Blinds Lt. Fixtures Screens Other BEDROOM #1 Walls Ceiling Floor Carpet Drapes Blinds Lt. Fixtures Screens Other BEDROOM #2 Walls Ceiling Floor Carpet Drapes Blinds Lt. Fixtures Screens Other BEDROOM #3 Walls Ceiling Floor Carpet Drapes Blinds Lt. Fixtures Screens Other

MOVE-OUT

The undersigned have inspected the unit and agree that this report is an accurate report of the comdition of the unit for purposes of determining the extent of tenant-caused damages, if any.

MOVE-IN Tenant / Date Tenant / Date Owner/Agent / Date

MOVE-OUT Tenant / Date Tenant / Date Owner/Agent / Date

622-09 (ML95)