UNIT INSPECTION (MOVE-IN/MOVE-OUT)
Unit #______ Size______ Address___________________ Resident____________________________________________
(Circle one) MOVE-IN INSPECTION OR MOVE-OUT INSPECTION
Move-In Date_____________________________ Move-Out Date___________________________________________
Forwarding Address (include zip code):
_______________________________________________________
_______________________________________________________
Range Serial #___________________________ Range Serial #___________________________________________
Refrig. Serial #____________________________ Refrig. Serial # __________________________________________
BEFORE EXECUTING THE LEASE AGREEMENT, OWNER'S REPRESENTATIVE AND RESIDENT MUST JOINTLY INSPECT THE UNIT, SIGN, AND DATE THE MOVE-IN INSPECTION FORM.
Keys Issued/Received (Specify number and type): _________________________________________________________
Condition Codes: A= Acceptable; U = Unacceptable; P = Pre-existing Condition; N/A = Not Applicable
CONDITION CORRECTION REQUIRED TARGET COMPLETION DATE CONDITION CORRECTION REQUIRED
MOVE-IN MOVE-OUT
LIVING ROOM:
Carpet/Floor_______________________________________________________________________________________
Walls_____________________________________________________________________________________________
Ceiling____________________________________________________________________________________________
Doors_____________________________________________________________________________________________
Closets____________________________________________________________________________________________
Shelves____________________________________________________________________________________________
Elec.Fixtures_______________________________________________________________________________________
Windows__________________________________________________________________________________________
Screens____________________________________________________________________________________________
DINING AREA:
Carpet/Floor_______________________________________________________________________________________
Walls_____________________________________________________________________________________________
Ceiling____________________________________________________________________________________________
Doors_____________________________________________________________________________________________
Closets____________________________________________________________________________________________
Shelves____________________________________________________________________________________________
Elec.Fixtures_______________________________________________________________________________________
Windows__________________________________________________________________________________________
Screens____________________________________________________________________________________________
KITCHEN:
Floor_____________________________________________________________________________________________
Walls_____________________________________________________________________________________________
Ceiling____________________________________________________________________________________________
Doors_____________________________________________________________________________________________
Closets____________________________________________________________________________________________
Shelves____________________________________________________________________________________________
Elec.Fixtures_______________________________________________________________________________________
Windows__________________________________________________________________________________________
Screens____________________________________________________________________________________________
Refrigerator________________________________________________________________________________________
Defrost Tray_______________________________________________________________________________________
Crisper Tray_______________________________________________________________________________________
Freezer Unit_______________________________________________________________________________________
Ice Trays__________________________________________________________________________________________
Shelves___________________________________________________________________________________________
Range_____________________________________________________________________________________________
Elements__________________________________________________________________________________________
Broiler Pan________________________________________________________________________________________
Hood/Exh.Fan_____________________________________________________________________________________
Knobs/Racks_______________________________________________________________________________________
Oven_____________________________________________________________________________________________
Broiler Pan________________________________________________________________________________________
Plumb.Fixtures_____________________________________________________________________________________
Sink______________________________________________________________________________________________
Disposal___________________________________________________________________________________________
Dishwasher_________________________________________________________________________________________
Cabinets___________________________________________________________________________________________
Countertop_________________________________________________________________________________________
(2) UNIT INSPECTION (MOVE-IN/MOVE-OUT) Unit#______ Resident___________________________________
CONDITION CORRECTION REQUIRED TARGET COMPLETION DATE CONDITION CORRECTION REQUIRED
MOVE-IN MOVE-OUT
BATHROOM (1):
Floor______________________________________________________________________________________________
Walls_____________________________________________________________________________________________
Ceiling____________________________________________________________________________________________
Doors_____________________________________________________________________________________________
Closets____________________________________________________________________________________________
Shelves____________________________________________________________________________________________
Elec.Fixtures_______________________________________________________________________________________
Windows__________________________________________________________________________________________
Screens____________________________________________________________________________________________
Plumb.Fixtures_____________________________________________________________________________________
Toilet_____________________________________________________________________________________________
Basin/Vanity_______________________________________________________________________________________
Tub/Shower________________________________________________________________________________________
Shower Rod________________________________________________________________________________________
Ceramic Tile_______________________________________________________________________________________
Exhaust Fan________________________________________________________________________________________
Med. Cabinet_______________________________________________________________________________________
Towel Bars_________________________________________________________________________________________
T.P. Holder________________________________________________________________________________________
Soap Dish__________________________________________________________________________________________
BEDROOM (1):
Floor______________________________________________________________________________________________
Walls_____________________________________________________________________________________________
Ceiling____________________________________________________________________________________________
Doors_____________________________________________________________________________________________
Closets____________________________________________________________________________________________
Shelves____________________________________________________________________________________________
Elec.Fixtures_______________________________________________________________________________________
Windows__________________________________________________________________________________________
Screens____________________________________________________________________________________________
BEDROOM (2):
Floor______________________________________________________________________________________________
Walls_____________________________________________________________________________________________
Ceiling____________________________________________________________________________________________
Doors_____________________________________________________________________________________________
Closets____________________________________________________________________________________________
Shelves____________________________________________________________________________________________
Elec.Fixtures_______________________________________________________________________________________
Windows__________________________________________________________________________________________
Screens____________________________________________________________________________________________
MISCELLANEOUS:
Furnace____________________________________________________________________________________________
Water Heater_______________________________________________________________________________________
Air Cond.__________________________________________________________________________________________
Smoke Alarms______________________________________________________________________________________
Fire Exting.________________________________________________________________________________________
W/D Hook-ups_____________________________________________________________________________________
Cable Hook-up_____________________________________________________________________________________
Hallways__________________________________________________________________________________________
Stairs/Rails________________________________________________________________________________________
Patio/Balcony______________________________________________________________________________________
Other_____________________________________________________________________________________________
PRE-EXISTING CONDITIONS (no correction to be done): For Move-In Inspections, describe the pre-existing conditions identified above:___________________________________________________________________________
_________________________________________________________________________________________________
COMMENTS:_____________________________________________________________________________________
_________________________________________________________________________________________________
MOVE-IN INSPECTION: I certify that the foregoing represents the condition of the dwelling unit at key issuance and that the unit is in decent, safe and sanitary condition. I understand that when I move out, I will be held responsible for the cost of reconditioning the unit to put it in move-in condition (cleaning, repainting, and any repair/replacement necessary as a result of negligence or misuse). I understand that I have the right to participate in the inspection when I move out and that I am encouraged to do so. Resident has 5 days from the date of move-in to report any additional deficiencies found in the unit.
Resident Certification: ________________________________________________ Date____________________
I certify that the foregoing represents the condition of the dwelling unit at key issuance and that it is in decent, safe and sanitary condition. If this report discloses any deficiencies, which require correction, I certify that they will be remedied within 30 days of the Lease Agreement date. (A copy of the completed work order(s) must be attached to this form in the Resident’s file showing the work performed and the date by which it was done.)
Owner Representative Certification: ____________________________________ Date____________________
(3) UNIT INSPECTION (MOVE-IN/MOVE-OUT ) Unit#______ Resident ____________________________________
MOVE-OUT INSPECTION: I certify that I was present at the Move-Out Inspection and acknowledge receipt of a copy of the Unit Inspection Form.
Resident Signature : ________________________________________________________ Date_____________________
OR check here |___| if RESIDENT did not choose to participate in M/O Inspection.
I certify that the foregoing represents the condition of the dwelling unit at move-out.
Owner's Representative Signature : ___________________________________________ Date_____________________
UNIT RECONDITIONING COST BREAKDOWN
(To be completed AFTER the reconditioning is done)
Schedule A Charges for Labor and Contractor Bills
List items such as repainting, cleaning, carpet cleaning (if applicable):
NAME OF CONTRACTOR OR TYPE OF WORK NO. OF TOTAL INVOICE
COOPERATIVE EMPLOYEE PERFORMED HOURS COST ATTACHED?
________________________________________________________________________$________________ _________
________________________________________________________________________$________________ _________
________________________________________________________________________$________________ _________
________________________________________________________________________$________________ _________
________________________________________________________________________$________________ _________
________________________________________________________________________$________________ _________
Total Schedule A $________________
Schedule B Chargeable Materials Required to Recondition Unit
List items such as window replacement, screen replacement, paint, light bulbs, cleaning supplies, etc. in Schedule B, if not included in Schedule A:
DESCRIPTION COST DESCRIPTION COST
_____________________________________$__________ _____________________________________$_________
_____________________________________$__________ _____________________________________$_________
_____________________________________$__________ _____________________________________$_________
_____________________________________$__________ _____________________________________$_________
_____________________________________$__________ _____________________________________$_________
_____________________________________$__________ _____________________________________$_________
_____________________________________$__________ _____________________________________$_________
_____________________________________$__________ _____________________________________$_________
_____________________________________$__________ _____________________________________$_________
_____________________________________$__________ _____________________________________$_________
Total Schedule B $_____________
Total Charges for Unit Reconditioning (A + B) $______________
Distribution: Original – Resident File
Copies - (1) Mgmt. Co., (2) Maintenance, (3) Resident
(Compliance\updated forms\unit inspection) 5/2011
(4) UNIT INSPECTION (MOVE-IN/MOVE-OUT) Unit#______ Resident____________________________________
CONDITION CORRECTION REQUIRED TARGET COMPLETION DATE CONDITION CORRECTION REQUIRED
MOVE-IN MOVE-OUT
BATHROOM (2):
Floor______________________________________________________________________________________________
Walls_____________________________________________________________________________________________
Ceiling____________________________________________________________________________________________
Doors_____________________________________________________________________________________________
Closets____________________________________________________________________________________________
Shelves____________________________________________________________________________________________
Elec.Fixtures_______________________________________________________________________________________
Windows__________________________________________________________________________________________
Screens____________________________________________________________________________________________
Plumb.Fixtures_____________________________________________________________________________________
Toilet_____________________________________________________________________________________________
Basin/Vanity_______________________________________________________________________________________
Tub/Shower________________________________________________________________________________________
Shower Rod________________________________________________________________________________________
Ceramic Tile_______________________________________________________________________________________
Exhaust Fan________________________________________________________________________________________
Med. Cabinet_______________________________________________________________________________________
Towel Bars_________________________________________________________________________________________
T.P. Holder________________________________________________________________________________________
Soap Dish__________________________________________________________________________________________
BEDROOM (3):
Floor______________________________________________________________________________________________
Walls_____________________________________________________________________________________________
Ceiling____________________________________________________________________________________________
Doors_____________________________________________________________________________________________
Closets____________________________________________________________________________________________
Shelves____________________________________________________________________________________________
Elec.Fixtures_______________________________________________________________________________________
Windows__________________________________________________________________________________________
Screens____________________________________________________________________________________________
BEDROOM (4):
Floor______________________________________________________________________________________________
Walls_____________________________________________________________________________________________
Ceiling____________________________________________________________________________________________
Doors_____________________________________________________________________________________________
Closets____________________________________________________________________________________________
Shelves____________________________________________________________________________________________
Elec.Fixtures_______________________________________________________________________________________
Windows__________________________________________________________________________________________
Screens____________________________________________________________________________________________
MOVE-IN INSPECTION: I certify that the foregoing represents the condition of the dwelling unit at key issuance and that the unit is in decent, safe and sanitary condition. I understand that when I move out, I will be held responsible for the cost of reconditioning the unit to put it in move-in condition (cleaning, repainting, and any repair/replacement necessary as a result of negligence or misuse). I understand that I have the right to participate in the inspection when I move out and that I am encouraged to do so. Resident has 5 days from the date of move-in to report any additional deficiencies found in the unit.
Resident Certification: ________________________________________________ Date____________________
I certify that the foregoing represents the condition of the dwelling unit at key issuance and that it is in decent, safe and sanitary condition. If this report discloses any deficiencies, which require correction, I certify that they will be remedied within 30 days of the Lease Agreement date. (A copy of the completed work order(s) must be attached to this form in the Resident’s file showing the work performed and the date by which it was done.)
Owner Representative Certification: ____________________________________ Date____________________
MOVE-OUT INSPECTION: I certify that I was present at the Move-Out Inspection and acknowledge receipt of a copy of the Unit Inspection Form.
Resident Signature : ________________________________________________________ Date_____________________
OR check here |___| if Resident did not choose to participate in M/O Inspection.
I certify that the foregoing represents the condition of the dwelling unit at move-out.
Owner's Representative Signature : ___________________________________________ Date_____________________
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