Property Condition Verification Form

PROPERTY CONDITION VERIFICATION FORM

Property Address:    APN/Parcel No.:

Inspection Details

Inspection Type: Move-in Move-out Routine/Periodic

Inspection Date:    Time:    Inspector Name:

Parties

Security Deposit / Financial

Security Deposit Held: $    Move-in Condition noted for potential deductions: Acknowledged

Utilities & Keys

Keys provided / returned:    Gate / Garage remote(s):

Condition Checklist — Major Areas & Systems

For each item below, mark the condition and provide any related comments in Itemized Notes. Condition options: Good / Fair / Poor / N/A.

Good Fair Poor N/A

Good Fair Poor N/A

Refrigerator: Working Damaged Oven/Stove: Working Damaged

Bedrooms:    Bathrooms:

Bathroom Fixtures condition: OK Damage/Leak

HVAC operational: Yes No Water heater operational: Yes No

Smoke / CO detectors: Present Functional

Disclosures / Known Issues

Lead-based paint known: Yes No

Visible mold or moisture damage: Yes No

Prior water intrusion or structural damage disclosed: Yes No

Itemized Condition Notes & Photographs

Photographs taken during inspection: Yes No

Certification & Acknowledgment

By signing below, the Landlord/Agent certifies that, to the best of their knowledge, the above entries accurately represent the condition of the property and items inspected at the date and time noted. The Tenant acknowledges receipt of a copy of this verification and confirms the opportunity to inspect and note any differences. Both parties understand that this verification documents the condition for purposes of damage assessment and security deposit disposition and does not waive statutory rights or remedies.

Landlord/Agent additionally affirms that any known material defects that create an imminent safety hazard have been disclosed in writing above and that reasonable effort has been made to identify visible damage at the time of inspection.

This document constitutes the complete written verification of the property's condition at the time of inspection and supersedes any prior oral representations regarding items noted herein. Governing law: the laws applicable to the property location shall govern interpretation and enforcement.

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