CHECKLIST OF APARTMENT/HOUSE CONDITIONS - MOVING OUT

Check the line where there are problems - Place a "T" if problems caused by Tenant, a "W" if problems caused by normal wear and tear, and an "0" if problems caused by someone other than the Tenant but not because of normal wear and tear.

Bedroom

BD1

BD2

BD3

Bathroom

BA1

BA2

Plaster from ceiling falling

___

___

___

Floor broken/warped

___

___

Floors broken or warped

___

___

___

Walls cracked

___

___

Walls cracked

___

___

___

Falling plaster from ceiling

___

___

Peeling paint on walls

___

___

___

Shower defective

___

___

Windows cracked/broken

___

___

___

Bathtub/sinks cracked

___

___

Window frame broken

___

___

___

Faucets leak

___

___

Electric wiring exposed

___

___

___

Carpet torn/stained

___

___

Light fixtures/outlets defective

___

___

___

Counters cracked

___

___

Carpet torn/stained

___

___

___

Mirrors cracked/broken

___

___

Closet doors broken

___

___

___

Medicine cabinet broken

___

___

Mirrors cracked/broken

___

___

___

Toilets defective

___

___

Other

___

___

___

Toilet seat broken

___

___

 

 

 

 

Light fixtures defective

___

___

 

 

 

 

Shower curtain torn

___

___

 

 

 

 

Other

___

___


Kitchen

 

Rest of the Apartment

 

Floor tiles I linoleum broken

___

Doorbell does not work

___

Pipes leaking

___

Roaches

___

Ceiling leaks

___

Mice

___

Plaster from ceiling falling

___

Rats

___

Drain stopped up

___

Carpets torn/stained

___

Faucets don't work

___

No hot water

___

Window broken

___

No cold water

___

Window frame broken

___

No heat

___

Light fixtures/outlets defective

___

Inadequate heat

___

Electric wiring exposed

___

Unit needs painting

___

Refrigerator defective

___

Paint peeling

___

Stove/oven defective

___

Cracks in walls/ceilings

___

Other

 

Plaster falling

___

 

 

Front door broken

___

 

 

Frame broken

___

 

 

Locks broken

___

 

 

No lock

___

 

 

Other

___

 

 

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