Verification of Rental Unit Condition Living Room Living Room Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Living Room Doors & Locks Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Living Room Carpets Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Living Room Floors/Baseboards Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Living Room Walls Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Living Room Ceilings Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Living Room Woodwork Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Living Room Windows Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Living Room Drapes Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Living Room Electrical Fixtures Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Living Room Closets Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Living Room Storms/Screens Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Living Room Other Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Dining Room Dining Room Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Dining Room Doors & Locks Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Dining Room Carpets Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Dining Room Floors/Baseboards Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Dining Room Walls Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Dining Room Ceilings Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Dining Room Woodwork Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Dining Room Windows Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Dining Room Drapes Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Dining Room Electrical Fixtures Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Dining Room Closets Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Dining Room Storms/Screens Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Dining Room Other Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Kitchen Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Doors & Locks Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Floors/Baseboards Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Woodwork Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Walls Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Ceilings Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Electrical Fixtures Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Electrical Switches Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Electrical Outlets Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Range/Oven Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Fan Hood Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Refrigerator Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Sink Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Disposal Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Cabinets Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Counters Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Windows Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Curtains Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Storms & Screens Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Kitchen Other Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom 1 Bedroom-1 Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-1 Doors Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-1 Floors/Baseboards Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-1 Walls Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-1 Ceilings Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-1 Woodwork Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-1 Electrical Fixtures Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-1 Windows Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-1 Curtains/Drapes Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-1 Closets Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-1 Storms/Screens Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-1 Other Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom 2 Bedroom-2 Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-2 Doors Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-2 Floors/Baseboards Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-2 Walls Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-2 Ceilings Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-2 Woodwork Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-2 Electrical Fixtures Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-2 Windows Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-2 Curtains/Drapes Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-2 Closets Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-2 Storms/Screens Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-2 Other Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom 3 Bedroom-3 Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-3 Doors Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-3 Floors/Baseboards Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-3 Walls Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-3 Ceilings Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-3 Woodwork Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-3 Electrical Fixtures Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-3 Windows Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-3 Curtains/Drapes Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-3 Closets Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-3 Storms/Screens Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bedroom-3 Other Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Bathroom Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Doors & Locks Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Floors Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Walls Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Ceilings Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Woodwork Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Windows Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Curtains Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Shower Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Tub Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Shower Curtains Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Faucets Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Toilet Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Electrical Fixtures Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Med Cabinet & Mirror Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Towel Rack Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Sink Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Vanity & Counter Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Storms/Screens Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Bathroom Other Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Halls Halls Front/Rear Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Halls Front/Rear Walls Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Halls Front/Rear Ceilings Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Halls Front/Rear Stairs Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Halls Front/Rear Floors Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Halls Front/Rear Woodwork Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Halls Front/Rear Doors Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Halls Front/Rear Windows Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Halls Front/Rear Curtains Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Halls Front/Rear Storm Doors Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Halls Front/Rear Storms/Screens Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Halls Front/Rear Decor Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Halls Front/Rear Overall Cleanliness Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Halls Front/Rear Other Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior Exterior Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior Building/Siding Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior Front Yard Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior Rear Yard Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior Walkways Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior Driveway Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior Fences Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior Garage Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior Porch Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior Stairs Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior Other Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior Hot Water Tank Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior Heating Equipment Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior Other Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior No. of Keys Issued Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior Apartment Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior Hall Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage Exterior Other Condition: Not ApplicableGoodFairPoorFreshly PaintedNo Damage THE TENANT’S SIGNATURE VERIFIES ABOVE STATEMENT WHICH REFLECTS THE TRUE CONDITION OF RENTAL UNIT AND SURROUNDING AREAS ON MOVE IN DATE. (Type Name Here) TENANT AGREES TO MAINTAIN CONDITION AND CLEANLINESS OF RENTAL UNIT AND SURROUNDING AREAS FOR THE TERM OF THE TENANCY AND SURRENDER RENTAL UNIT IN THE SAME CONDITION OR PAY FOR ANY COSTS TO RESTORE THE PROPERTY TO ITS ORIGINAL CONDITION AT THE TIME POSSESSION WAS TAKEN. FAILURE TO MAINTAIN GOOD, CLEAN CONDITIONS IS A VIOLATION OF THE RENTAL AGREEMENT AND WILL RESULT IN TERMINATION OF TENANCY.
