MOVE IN /MOVE OUT CONDITION FORM
Property:
Unit:
Resident:
Phone:
Purpose: This form is for the protection of both Resident and Owner. The MOVE-IN will be compared to the MOVE-OUT in determining what should and
should not be considered as the Resident's responsibility upon move-out.
Instructions: Please state condition of each item. Please line through or write "none" where items do not exist. All items will be assumed to be
in decent, safe and sanitary condition and repair unless otherwise indicated on the form. Use additional forms, as needed.
Move in Condition
Move Out Condition
Repair Cost
Living Room/Dining Room
Doors/Locks
Floors/ Carpets
Walls/Ceilings/Baseboards
Light Fixtures and Bulbs
Electrical Switches/ Plugs
Vents
Windows/screens/latches
Drapes/Blinds
Kitchen
Doors/Locks
Floor
Walls/Ceilings/baseboards
Light fixtures/bulbs
Electrical Switches/ plugs
Vents
Oven/ Range/Broiler
Exhaust Fan
Refrigerator/Ice Trays
Sink/Faucet/Disposal
Dishwasher
Cabinet/Counter Tops
Windows/Screens/Latch
Drapes/Blinds
Bathroom’s
Doors/Floors
Toilet/Tub/Sink
1, 2
Walls/Ceilings/Baseboards
1, 2
Light Fixtures/Switches/Outlets 1, 2
Towel Bars/Medicine Cabinet
1, 2
Exhaust Fan
1, 2
Bedroom
Doors/Locks
1, 2, 3, 4
Floors/Carpet
1, 2, 3, 4
Walls/Ceilings/Baseboards 1, 2, 3, 4
Light Fixtures and Bulbs
1, 2, 3, 4
Electrical Switches/ Plugs 1, 2, 3, 4
Vents
1, 2, 3, 4
Windows/screens/latches
1, 2, 3, 4
Drapes/Blinds
1, 2, 3, 4
Closet Doors
1, 2, 3, 4
Move In /Move Out Condition Form (08/2013)
Page 1 of 2
RA-7
MOVE IN /MOVE OUT CONDITION FORM
Property:
Unit:
Resident:
Purpose: This form is for the protection of both Resident and Owner. The MOVE-IN will be compared to the MOVE-OUT in determining what should and
should not be considered as the Resident's responsibility upon move-out.
Instructions: Please state condition of each item. Please line through or write "none" where items do not exist. All items will be assumed to be in decent,
safe and sanitary condition and repair unless otherwise indicated on the form. Use additional forms, as needed.
Move in Condition
Move Out Condition
Repair Cost
Hallway
Floor/Carpet
Walls/Ceilings/Baseboards
Light Fixtures/Bulbs/Fans
Electrical Switches/Outlets/Vents
Closets
Miscellaneous
Front Door/Back Door/Patio Door
Keys (Door, Mail, Laundry)
Mail Box
Fire Extinguisher
Smoke Alarms
Patio/Balcony
Heater/Air Conditioner Filter
Hot Water Heater
Total Of Damages (other than rent) $
This unit in Decent, Safe and Sanitary Condition?
Yes __________No_________ (Resident Initial) _____________
Smoke detector(s) were tested and are working unless otherwise indicated, All door locks, window latches were tested and are working unless
otherwise indicated: (Resident Initial) _____________
Move in Date:_____________________ I, and/or we, accept the aforementioned MOVE-IN INVENTORY as a part of the Rental Contract and
agree that it is an accurate account of the condition of said premises for purposes of disposition of deposit(s) on move-out.
Resident or Resident Agent:_________________________________________ Date: ______________________
By signing above, I recognize that I am responsible for keeping the apartment in good condition with the exception of normal wear. In the event of damage, I
agree to pay the cost to restore the apartment to its original condition.
Owner or Owners Agent:: ___________________________________________ Date: ______________________
By signing above, any deficiencies identified in this report will be remedied within 30 days of the date the tenant moves into the unit.
Listed deficiencies completed (Date) __________Work Order Number _________
Move Out Date: _________________ The undersigned has inspected this dwelling unit and found it to be in the condition stated in the column on
move-out condition.
Resident or Resident Agent:_________________________________________ Date: ______________________
Owner or Owners Agent:: __________________________________________
Date: ______________________
Public reporting burden - HUD is not requesting approval of any burden hours for the move-in/move-out inspection report since use of move-in/move-out inspection
reports are a standard business practice in the housing rental industry. This information is required to obtain benefits and is voluntary. HUD may not collect this information,
and you are not required to complete this form, unless it displays a currently valid OMB control number. The owner/management agent and tenant together conduct a movein/move-out inspection to document the condition of the unit at the time of move-in/move-out. Conducting move-in/move-out inspections are a standard business practice in
the housing rental industry and are used for determining damages caused by the tenant during tenancy and allowable deductions from the tenant’s security deposit held by
the owner. This information is authorized by 24 CFR 5.703 and 5.705, 886.123, 886.223 cover unit inspections. This information is considered non-sensitive and does not
require any special protection.
Move In /Move Out Condition Form (08/2013)
Page 2 of 2
RA-7