INSPECTION CHECK-LIST
Landlord/Property Manager Name: Amount of Security Deposit:
Tenant Name: Date Paid:
Address of Rental Unit:
This form is designed to assist in recording the condition of a rental unit upon moving in and moving out. To be most
useful, it should be filled out in the presence of the property owner and the tenant, and each should retain a signed and
dated copy.
For each line item, either check “OK” or describe any problems present.
Move-In Condition Move-Out Condition
Kitchen OK If not OK, describe problems OK If not OK, describe problems
General
Cleanliness
Sink
Counters
Light Fixtures
Cabinets
Oven/range
Refrigerator
Outlets
Walls & Ceilings
Floor
Windows
Other
(describe)
Bathroom OK If not OK, describe problems OK If not OK, describe problems
General
Cleanliness
Toilet
Sink
Tub or Shower
Mirror
Waterproof floor
Walls & Ceiling
Outlets
Window or fan
Other
(describe)
Move-In Condition Move-Out Condition
Living Room OK If not OK, describe problems OK If not OK, describe problems
General
Cleanliness
Walls & Ceiling
Floor/Carpet
Light Fixtures
Outlets
Windows
Other
(describe)
Bedroom #1 OK If not OK, describe problems OK If not OK, describe problems
General
Cleanliness
Walls & Ceiling
Floor/Carpet
Light Fixtures
Outlets
Windows
Other
(describe)
Bedroom #2 OK If not OK, describe problems OK If not OK, describe problems
General
Cleanliness
Walls & Ceiling
Floor/Carpet
Light Fixtures
Outlets
Windows
Other
(describe)
Bedroom #3 OK If not OK, describe problems OK If not OK, describe problems
General
Cleanliness
Walls & Ceiling
Floor/Carpet
Light Fixtures
Outlets
Windows
Other
(describe)
Move-In Condition Move-Out Condition
Other Room:
___________
OK If not OK, describe problems OK If not OK, describe problems
General
Cleanliness
Walls & Ceiling
Floor/Carpet
Light Fixtures
Outlets
Windows
Other
(describe)
Miscellaneous OK If not OK, describe problems OK If not OK, describe problems
Heating system
Water pressure
Entry doors
Lock
Smoke Detector
Fire Extinguisher
Other
(describe)
Use the space below to note any disagreements to the checklist:
I was present at the time of the inspection, and agree with this checklist, except as noted in the space above.
Move-In: Move-Out:
Date:
Landlord Signature:
Tenant Signature:
This checklist was adapted from the Vermont Tenants, Inc. Inspection Check-List.