Fill and Sign the Tenant Move in Move Out Instructions Montgomery County Form

Sample Move Out Inspection Report Name of Family: _____________________________________________________________ Date of Inspection: _____________ Address of Inspected Unit: ___________________________________________________ Date Family Moved in: ______________ Date Family Moved out: ______________ Name and Address of Owner of Apartment: ________________________________________ __________________________________________________________________________ Phone Number of Owner: _____________________________ Name of Inspector: __________________________________________________ List any damage and note condition of Apartment. 1. Living Room: Condition of floor/carpet: _______________________________________________ Wall Condition: ______________________________________________________ Ceiling Condition: _______________________________________________________ Window Condition: ______________________________________________________ Light globes/bulbs present: Other damage: 2. Kitchen: Condition of floor/carpet: _________________________________________________ Wall Condition: _________________________________________________ Ceiling Condition: _________________________________________________ Window Condition: _________________________________________________ Light globes/bulbs present: ___________________________________________ Stove Condition: _________________________________________________ Cupboards/Counters: _________________________________________________ Refrigerator: _________________________________________________ Sink: _________________________________________________ Other damage: _________________________________________________ 3. Bathroom: Condition of fixtures (i.e., toilet, medicine chest, mirror, sink, etc): _________________ Wall Condition: ______________________________ Floor Condition: ______________________________ Ceiling Condition: _____________________________ 4. Master Bedroom: Condition of floor/carpet: ______________________________________________ Wall Condition: ______________________________________________ Ceiling Condition: ______________________________________________ Window Condition: ______________________________________________ Light globes/bulbs present: ______________________________________________ Other damage: ______________________________________________ 5. Other Bedrooms: Condition of floor/carpet: ______________________________________________ Wall Condition: ______________________________________________ Ceiling Condition: ______________________________________________ Window Condition: ______________________________________________ Light globes/bulbs present: ______________________________________________ Other damage: ______________________________________________ 6. Hallways: Condition of floor/carpet: ______________________________________________ Wall Condition: ______________________________________________ Ceiling Condition: ______________________________________________ Window Condition: ______________________________________________ Light globes/bulbs present: ______________________________________________ Other damage: ______________________________________________ Comments on overall cleanliness of the unit: _____________________________________ ________________________________________________________________________ Is there trash or debris present which landlord must remove? ____________________ Are there signs of rodent/insect infestation? __________________________________ Are pet smells present? ___________________________________________ Other comments: ________________________________________________________ ______________________________________________________________________ We, _________________ ___________________ (Names of Landlord and Inspector) agree that the above is an accurate description of the condition of the unit at the time of move- out. The cost to repair the damage listed above and any unpaid tenant rent should be deducted from the security deposit. Witness our signatures this ________________ (date) . ____________________________ (Name of Landlord or Owner) ____________________________ (Signature of Landlord or Owner) ___________________________ (Name of Inspector) ___________________________ (Signature of Inspector)