HOUSING CONDITION CHECKLIST

ADDRESS _____________________________________________________  Apt _______

TENANTS __________________________________________________________________

LANDLORD _______________________________________  Phone __________________

Tenants:  Fill this form out completely as it will help protect your security
	  deposit.  Carefully note the exact condition of each item.  Be
	  descriptive and give good details.  Append as many sheets as
	  necessary to fully inventory housing unit.

Landlords:  Protect your investment.  Complete this form after inspecting
	    the property with the new tenants.  Carefully note the exact
	    condition of each item.  Append as many sheets as necessary to
	    fully inventory housing unit.


OUTSIDE/ENTRANCE

Sidewalk _____________________________________________________
Yard _________________________________________________________
______________________________________________________________
Porch/Railing ________________________________________________
______________________________________________________________
Mailbox ______________________________________________________
Doorbell _____________________________________________________
Door _________________________________________________________
Door glass ___________________________________________________
Door lock ____________________________________________________
Keys _________________________________________________________
Screen door __________________________________________________
Storm door ___________________________________________________
Light ________________________________________________________
Trash can ____________________________________________________
Other ________________________________________________________

HALLWAY/STAIRWAY

Floor ________________________________________________________
Walls ________________________________________________________
______________________________________________________________
Ceilings _____________________________________________________
Lights _______________________________________________________
Outlets ______________________________________________________
Windows ______________________________________________________
Screens ______________________________________________________
Other ________________________________________________________
______________________________________________________________

LIVING ROOM

Floor ________________________________________________________
Walls ________________________________________________________
Ceilings _____________________________________________________
Doors ________________________________________________________
Windows ______________________________________________________
Screens ______________________________________________________
Carpet _______________________________________________________
Drapes _______________________________________________________
Lights _______________________________________________________
Outlets ______________________________________________________
Furniture ____________________________________________________
______________________________________________________________

DINING ROOM

Floor ________________________________________________________
Walls ________________________________________________________
Ceilings _____________________________________________________
Doors ________________________________________________________
Windows ______________________________________________________
Screens ______________________________________________________
Carpet _______________________________________________________
Drapes _______________________________________________________
Lights _______________________________________________________
Outlets ______________________________________________________
Furniture ____________________________________________________
______________________________________________________________

KITCHEN

Floors _______________________________________________________
Walls ________________________________________________________
Ceilings _____________________________________________________
Doors ________________________________________________________
Windows ______________________________________________________
Screens ______________________________________________________
Carpet _______________________________________________________
Drapes _______________________________________________________
Lights _______________________________________________________
Outlets ______________________________________________________
Refrigerator _________________________________________________
Stove ________________________________________________________
Burners ______________________________________________________
Exhaust Fan __________________________________________________
Cabinets _____________________________________________________
Counters _____________________________________________________
Sink _________________________________________________________
Other ________________________________________________________
______________________________________________________________

BATHROOM

Floors _______________________________________________________
Walls ________________________________________________________
Ceilings _____________________________________________________
Doors ________________________________________________________
Windows ______________________________________________________
Screens ______________________________________________________
Carpet _______________________________________________________
Drapes _______________________________________________________
Lights _______________________________________________________
Outlets ______________________________________________________
Bathtub ______________________________________________________
Shower _______________________________________________________
Sink _________________________________________________________
Toilet _______________________________________________________
Mirror _______________________________________________________
Towel Rack ___________________________________________________
Cabinets _____________________________________________________
Other ________________________________________________________
______________________________________________________________

BEDROOM #1

Floors _______________________________________________________
Walls ________________________________________________________
Ceilings _____________________________________________________
Doors ________________________________________________________
Windows ______________________________________________________
Screens ______________________________________________________
Carpet _______________________________________________________
Drapes _______________________________________________________
Lights _______________________________________________________
Outlets ______________________________________________________
Mirror _______________________________________________________
Bed __________________________________________________________
Frame ________________________________________________________
Matress ______________________________________________________
Box Spring ___________________________________________________
Closet _______________________________________________________
Furniture ____________________________________________________
______________________________________________________________

BEDROOM #2

Floors _______________________________________________________
Walls ________________________________________________________
Ceilings _____________________________________________________
Doors ________________________________________________________
Windows ______________________________________________________
Screens ______________________________________________________
Carpet _______________________________________________________
Drapes _______________________________________________________
Lights _______________________________________________________
Outlets ______________________________________________________
Mirror _______________________________________________________
Bed __________________________________________________________
Frame ________________________________________________________
Matress ______________________________________________________
Box Spring ___________________________________________________
Closet _______________________________________________________
Furniture ____________________________________________________
______________________________________________________________

Signatures

Landlord _______________________________________  Date ________________

Tenant _________________________________________  Date ________________