"Sample Inventory Checklist Template"

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Sample Inventory Checklist
This form is for the purpose of recording the condition of the dwelling and its furnishings when a tenant
takes occupancy, and the subsequent condition when the tenant terminates the tenancy and vacates the
premises. A copy of the form should be made after the first inspection, and the original and the copy
should be signed by both the tenant and the landlord. The tenant should be sure to keep a copy.
It is suggested that the tenant and the landlord meet on the premises about two weeks before the tenant
moves out for the purpose of alerting the tenant to problems which would necessitate a charge for clean-
ing, repair or replacement. This should allow the tenant sufficient opportunity to remedy the problem,
enabling the landlord to refund the tenant’s deposit.
ADDRESS: The location of the premises is:__________________________________________________
KITCHEN
ITEM
Quantity
Condition Upon Arrival
Condition Upon Departure
example: refrigerator
1
Molding coming off door
Cabinets/Breadboards
Floor Covering
Walls and Ceiling
Counter Surfaces
Stove & Oven, Range, grills, etc.
Refrigerator (ice trays, light, etc.)
Sink and Garbage Disposal
Tables and Chairs
Windows (drapes, screens)
Doors (including hardware)
Light Fixtures
Other (specify)
LIVING ROOM
Floor Covering
Walls and Ceiling
Tables and Chairs
Sofa
Windows (drapes, screens)
Doors (including hardware)
Light Fixtures
Lamp (s)
Pictures (s)
Other (specify)
BATHROOMS
Floor Coverings
Walls and Ceiling
8
Sample Inventory Checklist
This form is for the purpose of recording the condition of the dwelling and its furnishings when a tenant
takes occupancy, and the subsequent condition when the tenant terminates the tenancy and vacates the
premises. A copy of the form should be made after the first inspection, and the original and the copy
should be signed by both the tenant and the landlord. The tenant should be sure to keep a copy.
It is suggested that the tenant and the landlord meet on the premises about two weeks before the tenant
moves out for the purpose of alerting the tenant to problems which would necessitate a charge for clean-
ing, repair or replacement. This should allow the tenant sufficient opportunity to remedy the problem,
enabling the landlord to refund the tenant’s deposit.
ADDRESS: The location of the premises is:__________________________________________________
KITCHEN
ITEM
Quantity
Condition Upon Arrival
Condition Upon Departure
example: refrigerator
1
Molding coming off door
Cabinets/Breadboards
Floor Covering
Walls and Ceiling
Counter Surfaces
Stove & Oven, Range, grills, etc.
Refrigerator (ice trays, light, etc.)
Sink and Garbage Disposal
Tables and Chairs
Windows (drapes, screens)
Doors (including hardware)
Light Fixtures
Other (specify)
LIVING ROOM
Floor Covering
Walls and Ceiling
Tables and Chairs
Sofa
Windows (drapes, screens)
Doors (including hardware)
Light Fixtures
Lamp (s)
Pictures (s)
Other (specify)
BATHROOMS
Floor Coverings
Walls and Ceiling
8
BATHROOMS
(continued)
Shower & Tub (walls, door, etc)
Plumbing Fixtures
Windows (drapes, screens)
Doors (including hardware)
Light Fixtures, Exhaust Fan
Mirror
Sink
Cabinets
Towel Racks
Other (Specify)
BEDROOMS
Floor Covering
Walls & Ceiling
Closet (doors & tracks)
Desk(s) and Chairs
Dresser(s)/Chest of Drawers
Bed(s) (frames, mattress, box
spring, pads)
Windows (drapes, screen)
Doors (including hardware)
Light Fixtures
Book Shelves
Other (Specify)
HALLWAYS/OTHER AREAS
Floor Covering
Walls and Ceiling
Closets (doors & tracks)
Light Fixtures
Air Conditioner, Filter
Heater Filter
Patio, Deck, Yard
Water Heater
Screen Door(s)
Outside Light(s)
Other (specify)
Beginning Inventory Date _____________________
End Term Inspection Date ___________________________
Signature of Tenant __________________________________ Signature of Landlord ________________________
9
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