The document is a move out/move in checklist that allows a landlord and tenant to document the condition of a rental property. It includes sections to check items in general areas of the home like the living room, kitchen, bedrooms and bathrooms. The checklist can be used to indicate if items are present and working and note any faults. The landlord and tenant sign the completed form to confirm the condition of the property.
1. Move Out / Move In Check List
Date (dd/mm/yyyy): _____________________
Landlord's Name: _______________________
Tenant's Name: _________________________
Address of Rental Unit: _______________________________________
_______________________________________
* Place a tick in the space next to the item to indicate that it is present and working. Any notable details or
faults can be indicated in the same space.
GENERAL
Air Conditioning
Heater / Boiler
Smoke Alarm
Burglar Alarm
Mail Box
Add Your Own Items Below
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LIVING ROOM
Lighting
Windows / Curtains
Walls / Paint
Flooring / Carpeting
Fireplace
Add Your Own Items Below
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KITCHEN
Lighting
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2. Windows / Curtains
Walls / Paint
Flooring
Sink
Cabinet / Counter Top
Refrigerator
Oven
Microwave
Dishwasher
Add Your Own Items Below
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MASTER BEDROOM
Lighting
Window / Curtains
Walls / Paint
Flooring / Carpeting
Bedding
Add Your Own Items Below
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BATHROOM (MASTER BEDROOM)
Lighting
Windows / Curtains
Walls / Paint
Flooring
Sink
Toilet Bowl
Shower / Tub
Medicine Cabinet
Add Your Own Items Below
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3. BEDROOM #2
Lighting
Window / Curtains
Walls / Paint
Flooring / Carpeting
Bedding
Add Your Own Items Below
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BEDROOM #3
Lighting
Window / Curtains
Walls / Paint
Flooring / Carpeting
Bedding
Add Your Own Items Below
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BATHROOM #2
Lighting
Windows / Curtains
Walls / Paint
Flooring
Sink
Toilet Bowl
Shower / Tub
Medicine Cabinet
Add Your Own Items Below
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STOREROOM / GARAGE
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4. Lighting
Walls / Paint
Flooring
Add Your Own Items Below
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My signature below indicates that I have inspected the above premised and hereby confirm its condition
as stated in this check list:
_________________________ _________________________
Landlord’s Signature Tenant’s Signature
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