MOVE IN/OUT REPORT Tenant Name: _________________________________________________________________________________ Building Name & Room Number: _________________________________________________________________ This form is designed to assist you in recording the condition of your rental unit upon moving in and moving out. For each item, please circle the most appropriate answer, and then describe any problems as clearly as possible. Detailed answers will prevent you from being charged for damages upon move out for which you were not responsible. Once you have completed and signed your room inspection form, please submit it and any supporting documents or pictures within seven (7) days. Inspection forms not returned within seven (7) days of move in shall be disregarded. This form does not serve as a repair request. If something in your unit requires repair, please follow the repair and maintenance request protocol. No work will be authorized from this form. Move – in Move – Out 1. Does the door to your unit properly close and latch? YES NO YES NO 2. Does the door to your hardware and keys operate properly? YES NO YES NO 3. Is the door free of damage, stickers, graffiti, etc.? YES NO YES NO 4. Is the unit identification on your door displayed properly? YES NO YES NO If any of the above were answered “NO”, please describe the condition: ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ 5. Do the windows to your unit properly close and latch? YES NO YES NO 6. Are there screens on each window that opens? YES NO YES NO 7. Are the windows free of damage including cracked or broken glass? YES NO YES NO 8. Are the windows free of stickers, graffiti, etc.? YES NO YES NO If any of the above were answered “NO”, please describe the condition: ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ 9. Is the smoke alarm free of damage and working properly? YES NO YES One North Pennsylvania Street, Suite 1200 | Indianapolis, IN 46204 | p 317-275.8950 | f 317.663.1056 richmondpropertygroup.com NO 10. Do all of the electrical outlets work properly? YES NO YES NO 11. Do all of the lights and fixtures work properly? YES NO YES NO 12. If provided, do internet and cable function properly? YES NO YES NO If any of the above were answered “NO”, please describe the condition: ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ 13. Is the ceiling free of damage, stains and graffiti? YES NO YES NO 14. Are the walls free of damage, stains and graffiti? YES NO YES NO 15. Is the flooring free of damage, stains and graffiti? YES NO YES NO 16. Are the heating and register covers free of damage? YES NO YES NO 17. Was your unit empty of furniture and belongings upon move in? YES NO YES NO 18. Was your unit reasonably clean upon move in? YES NO YES NO If any of the above were answered “NO”, please describe the condition: ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ 19. Does the toilet flush properly? YES NO YES NO 20. Does the toilet run or leak? YES NO YES NO 21. Does the sink drain properly? YES NO YES NO 22. Does the sink drip or leak? YES NO YES NO 23. Is the bathroom free of any additional damages? YES NO YES NO If any of the above were answered “NO”, please describe the condition: ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ 2|RPG 2015 24. Please list any additional information about problems or existing damage to your unit: ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Attach additional pages if needed. Forwarding Address (Move out only):___________________________________________ ___________________________________________ ________________________________________________________________ ___________________ Tenant Signature Date _________________________________________________________________ ___________________ Property Manager Date OFFICIAL USE ONLY Number of keys returned _____________ Note:___________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 3|RPG 2015
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