Housing
Conditions Checklist: Complete this form in
duplicate as soon as you move in.
Fill out, date, sign this document and keep a copy and give a copy
to the landlord.
Address: ______________________ Apt. #____
Landlord_______________________________
Tenants________________________________
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KEY: G-Good, F-Fair, P-Poor, D-Damaged,
M-Missing |
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AREA |
G |
F |
P |
D |
M |
COMMENTS |
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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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Carpet |
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Curtains |
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Lights |
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Blinds |
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Outlets |
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Dining
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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Carpet |
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Curtains |
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Lights |
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Blinds |
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Outlets |
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Hallway |
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Walls |
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Floor |
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Ceiling |
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Windows |
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Screens |
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Blinds |
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Closets |
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Stairs |
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Outlets |
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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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Carpet |
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Curtains |
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