Form 15-H Inventory and Condition Form - Texas Apartment Association - Texas

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Inventory and Condition Form
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Resident’s Name: _______________________________________________________ Home #: (______)________________ Work #: (______)_______________
Resident’s Name: _______________________________________________________ Home #: (______)________________ Work #: (______)_______________
Resident’s Name: _______________________________________________________ Home #: (______)________________ Work #: (______)_______________
Resident’s Name: _______________________________________________________ Home #: (______)________________ Work #: (______)_______________
Resident’s Name: _______________________________________________________ Home #: (______)________________ Work #: (______)_______________
Resident’s Name: _______________________________________________________ Home #: (______)________________ Work #: (______)_______________
Apartment Community Name: ______________________________________________________________________________________________________
TX
or Street Address (if house, duplex, etc.): ______________________________________________________________________ Apt. # _________________________
Within 48 hours after move-in, you must note on this form all defects, damage, or safety or pest-related concerns and return it to our representative.
Otherwise, everything will be considered to be in a clean, safe, and good working condition. Please mark through items listed below or put “none” if the
items don’t exist. This form protects both you (the resident) and us (the owner). We’ll use it in determining what should and should not be considered
your responsibility upon move-out. You are entitled to a copy of this form after it is fi lled out and signed by you and us.
❒ Move-In or ❒ Move-Out Condition (Check one)
Living Room
Dining Room
Walls ____________________________________________________
Walls ____________________________________________________
_________________________________________________________
_________________________________________________________
Wallpaper ________________________________________________
Wallpaper ________________________________________________
Plugs, switches, A/C vents ___________________________________
Plugs, switches, A/C vents ___________________________________
Woodwork/baseboards _____________________________________
Woodwork/baseboards _____________________________________
Ceiling __________________________________________________
Ceiling __________________________________________________
Light fi xtures, bulbs ________________________________________
Light fi xtures, bulbs ________________________________________
Floor/carpet ______________________________________________
Floor/carpet ______________________________________________
_________________________________________________________
_________________________________________________________
Doors, stops, locks _________________________________________
Doors, stops, locks _________________________________________
Windows, latches, screens ___________________________________
Windows, latches, screens ___________________________________
Window coverings _________________________________________
Window coverings _________________________________________
Closets, rods, shelves _______________________________________
Closets, rods, shelves _______________________________________
Closet lights, fi xtures _______________________________________
Closet lights, fi xtures _______________________________________
Lamps, bulbs ______________________________________________
Water stains or mold on walls, ceilings or baseboards _____________
_________________________________________________________
Water stains or mold on walls, ceilings or baseboards _____________
_________________________________________________________
Other ____________________________________________________
Other ____________________________________________________
Halls
Kitchen
Walls ____________________________________________________
_________________________________________________________
Walls ____________________________________________________
_________________________________________________________
Wallpaper ________________________________________________
Plugs, switches, A/C vents ___________________________________
Wallpaper ________________________________________________
Plugs, switches, A/C vents ___________________________________
Woodwork/baseboards _____________________________________
Ceiling __________________________________________________
Woodwork/baseboards _____________________________________
Ceiling __________________________________________________
Light fi xtures, bulbs ________________________________________
Floor/carpet ______________________________________________
Light fi xtures, bulbs ________________________________________
Floor/carpet ______________________________________________
_________________________________________________________
Doors, stops, locks _________________________________________
_________________________________________________________
Doors, stops, locks _________________________________________
Closets, rods, shelves _______________________________________
Closet lights, fi xtures _______________________________________
Windows, latches, screens ___________________________________
Window coverings _________________________________________
Water stains or mold on walls, ceilings or baseboards _____________
Cabinets, drawers, handles __________________________________
Other ____________________________________________________
Countertops ______________________________________________
Exterior (if applicable)
Stove/oven, trays, pans, shelves ______________________________
Patio/yard ________________________________________________
Vent hood _______________________________________________
Fences/gates ______________________________________________
Refrigerator, trays, shelves ___________________________________
Faucets __________________________________________________
Refrigerator light, crisper ___________________________________
Balconies ________________________________________________
Dishwasher, dispensers, racks ________________________________
Other ____________________________________________________
Sink/disposal _____________________________________________
Microwave _______________________________________________
Bedroom (describe which one): __________________________________
Plumbing leaks, water stains or mold on walls, ceilings or baseboards
Walls ____________________________________________________
_________________________________________________________
Wallpaper ________________________________________________
Other ____________________________________________________
Plugs, switches, A/C vents ___________________________________
_________________________________________________________
Woodwork/baseboards _____________________________________
Ceiling ___________________________________________________
General Items
Light fi xtures, bulbs ________________________________________
Thermostat _______________________________________________
Floor/carpet ______________________________________________
Cable TV or master antenna __________________________________
_________________________________________________________
A/C fi lter _________________________________________________
Doors, stops, locks _________________________________________
Washer/dryer _____________________________________________
Windows, latches, screens ___________________________________
Garage door ______________________________________________
Window coverings _________________________________________
Ceiling fans ______________________________________________
Closets, rods, shelves _______________________________________
Exterior doors, screens/screen doors, doorbell ___________________
Closet lights, fi xtures _______________________________________
Water stains or mold on walls, ceilings or baseboards _____________
_________________________________________________________
_________________________________________________________
Fireplace _________________________________________________
Other ____________________________________________________
Other ____________________________________________________
© T
A
A
, I
., 2015
C
EXAS
PARTMENT
SSOCIATION
NC
ONTINUED ON BACK SIDE
Inventory and Condition Form
M
E
M
B
E
R
Resident’s Name: _______________________________________________________ Home #: (______)________________ Work #: (______)_______________
Resident’s Name: _______________________________________________________ Home #: (______)________________ Work #: (______)_______________
Resident’s Name: _______________________________________________________ Home #: (______)________________ Work #: (______)_______________
Resident’s Name: _______________________________________________________ Home #: (______)________________ Work #: (______)_______________
Resident’s Name: _______________________________________________________ Home #: (______)________________ Work #: (______)_______________
Resident’s Name: _______________________________________________________ Home #: (______)________________ Work #: (______)_______________
Apartment Community Name: ______________________________________________________________________________________________________
TX
or Street Address (if house, duplex, etc.): ______________________________________________________________________ Apt. # _________________________
Within 48 hours after move-in, you must note on this form all defects, damage, or safety or pest-related concerns and return it to our representative.
Otherwise, everything will be considered to be in a clean, safe, and good working condition. Please mark through items listed below or put “none” if the
items don’t exist. This form protects both you (the resident) and us (the owner). We’ll use it in determining what should and should not be considered
your responsibility upon move-out. You are entitled to a copy of this form after it is fi lled out and signed by you and us.
❒ Move-In or ❒ Move-Out Condition (Check one)
Living Room
Dining Room
Walls ____________________________________________________
Walls ____________________________________________________
_________________________________________________________
_________________________________________________________
Wallpaper ________________________________________________
Wallpaper ________________________________________________
Plugs, switches, A/C vents ___________________________________
Plugs, switches, A/C vents ___________________________________
Woodwork/baseboards _____________________________________
Woodwork/baseboards _____________________________________
Ceiling __________________________________________________
Ceiling __________________________________________________
Light fi xtures, bulbs ________________________________________
Light fi xtures, bulbs ________________________________________
Floor/carpet ______________________________________________
Floor/carpet ______________________________________________
_________________________________________________________
_________________________________________________________
Doors, stops, locks _________________________________________
Doors, stops, locks _________________________________________
Windows, latches, screens ___________________________________
Windows, latches, screens ___________________________________
Window coverings _________________________________________
Window coverings _________________________________________
Closets, rods, shelves _______________________________________
Closets, rods, shelves _______________________________________
Closet lights, fi xtures _______________________________________
Closet lights, fi xtures _______________________________________
Lamps, bulbs ______________________________________________
Water stains or mold on walls, ceilings or baseboards _____________
_________________________________________________________
Water stains or mold on walls, ceilings or baseboards _____________
_________________________________________________________
Other ____________________________________________________
Other ____________________________________________________
Halls
Kitchen
Walls ____________________________________________________
_________________________________________________________
Walls ____________________________________________________
_________________________________________________________
Wallpaper ________________________________________________
Plugs, switches, A/C vents ___________________________________
Wallpaper ________________________________________________
Plugs, switches, A/C vents ___________________________________
Woodwork/baseboards _____________________________________
Ceiling __________________________________________________
Woodwork/baseboards _____________________________________
Ceiling __________________________________________________
Light fi xtures, bulbs ________________________________________
Floor/carpet ______________________________________________
Light fi xtures, bulbs ________________________________________
Floor/carpet ______________________________________________
_________________________________________________________
Doors, stops, locks _________________________________________
_________________________________________________________
Doors, stops, locks _________________________________________
Closets, rods, shelves _______________________________________
Closet lights, fi xtures _______________________________________
Windows, latches, screens ___________________________________
Window coverings _________________________________________
Water stains or mold on walls, ceilings or baseboards _____________
Cabinets, drawers, handles __________________________________
Other ____________________________________________________
Countertops ______________________________________________
Exterior (if applicable)
Stove/oven, trays, pans, shelves ______________________________
Patio/yard ________________________________________________
Vent hood _______________________________________________
Fences/gates ______________________________________________
Refrigerator, trays, shelves ___________________________________
Faucets __________________________________________________
Refrigerator light, crisper ___________________________________
Balconies ________________________________________________
Dishwasher, dispensers, racks ________________________________
Other ____________________________________________________
Sink/disposal _____________________________________________
Microwave _______________________________________________
Bedroom (describe which one): __________________________________
Plumbing leaks, water stains or mold on walls, ceilings or baseboards
Walls ____________________________________________________
_________________________________________________________
Wallpaper ________________________________________________
Other ____________________________________________________
Plugs, switches, A/C vents ___________________________________
_________________________________________________________
Woodwork/baseboards _____________________________________
Ceiling ___________________________________________________
General Items
Light fi xtures, bulbs ________________________________________
Thermostat _______________________________________________
Floor/carpet ______________________________________________
Cable TV or master antenna __________________________________
_________________________________________________________
A/C fi lter _________________________________________________
Doors, stops, locks _________________________________________
Washer/dryer _____________________________________________
Windows, latches, screens ___________________________________
Garage door ______________________________________________
Window coverings _________________________________________
Ceiling fans ______________________________________________
Closets, rods, shelves _______________________________________
Exterior doors, screens/screen doors, doorbell ___________________
Closet lights, fi xtures _______________________________________
Water stains or mold on walls, ceilings or baseboards _____________
_________________________________________________________
_________________________________________________________
Fireplace _________________________________________________
Other ____________________________________________________
Other ____________________________________________________
© T
A
A
, I
., 2015
C
EXAS
PARTMENT
SSOCIATION
NC
ONTINUED ON BACK SIDE
Bedroom (describe which one): ___________________________________
Bedroom (describe which one): ___________________________________
Walls _______________________________________________________
Walls _______________________________________________________
____________________________________________________________
____________________________________________________________
Wallpaper ___________________________________________________
Wallpaper ___________________________________________________
Plugs, switches, A/C vents ______________________________________
Plugs, switches, A/C vents ______________________________________
Woodwork/baseboards ________________________________________
Woodwork/baseboards ________________________________________
Ceiling _____________________________________________________
Ceiling _____________________________________________________
Light fi xtures, bulbs ___________________________________________
Light fi xtures, bulbs ___________________________________________
Floor/carpet _________________________________________________
Floor/carpet _________________________________________________
____________________________________________________________
____________________________________________________________
Doors, stops, locks ____________________________________________
Doors, stops, locks ____________________________________________
Windows, latches, screens ______________________________________
Windows, latches, screens ______________________________________
Window coverings ____________________________________________
Window coverings ____________________________________________
Closets, rods, shelves __________________________________________
Closets, rods, shelves __________________________________________
Closet lights, fi xtures __________________________________________
Closet lights, fi xtures __________________________________________
Water stains or mold on walls, ceilings or baseboards _______________
Water stains or mold on walls, ceilings or baseboards _______________
___________________________________________________________
___________________________________________________________
Other _______________________________________________________
Other _______________________________________________________
Bath (describe which one): _______________________________________
Bath (describe which one): _______________________________________
Walls _______________________________________________________
Walls _______________________________________________________
Wallpaper ___________________________________________________
Wallpaper ___________________________________________________
Plugs, switches, A/C vents ______________________________________
Plugs, switches, A/C vents ______________________________________
Woodwork/baseboards ________________________________________
Woodwork/baseboards ________________________________________
Ceiling _____________________________________________________
Ceiling _____________________________________________________
Light fi xtures, bulbs ___________________________________________
Light fi xtures, bulbs ___________________________________________
Exhaust fan/heater ____________________________________________
Exhaust fan/heater ____________________________________________
Floor/carpet _________________________________________________
Floor/carpet _________________________________________________
____________________________________________________________
____________________________________________________________
Doors, stops, locks ____________________________________________
Doors, stops, locks ____________________________________________
Windows, latches, screens ______________________________________
Windows, latches, screens ______________________________________
Window coverings ____________________________________________
Window coverings ____________________________________________
Sink, faucet, handles, stopper ___________________________________
Sink, faucet, handles, stopper ___________________________________
Countertops _________________________________________________
Countertops _________________________________________________
Mirror ______________________________________________________
Mirror ______________________________________________________
Cabinets, drawers, handles _____________________________________
Cabinets, drawers, handles _____________________________________
Toilet, paper holder ___________________________________________
Toilet, paper holder ___________________________________________
Bathtub, enclosure, stopper ____________________________________
Bathtub, enclosure, stopper _____________________________________
Shower, doors, rods ___________________________________________
Shower, doors, rods ___________________________________________
Tile ________________________________________________________
Tile ________________________________________________________
Plumbing leaks, water stains or mold on walls, ceilings or baseboards
Plumbing leaks, water stains or mold on walls, ceilings or baseboards
____________________________________________________________
____________________________________________________________
Other _______________________________________________________
Other _______________________________________________________
Safety or Pest-Related Items (Put “none” if item does not exist)
Half Bath
Door knob locks _____________________________________________
Walls _______________________________________________________
Keyed deadbolt locks _________________________________________
____________________________________________________________
Keyless deadbolts ____________________________________________
Wallpaper ___________________________________________________
Keyless bolting devices _______________________________________
Plugs, switches, A/C vents ______________________________________
Sliding door latches __________________________________________
Woodwork/baseboards ________________________________________
Sliding door security bars ______________________________________
Ceiling _____________________________________________________
Sliding door pin locks __________________________________________
Light fi xtures, bulbs ___________________________________________
Doorviewers _________________________________________________
Exhaust fan/heater ___________________________________________
Window latches ______________________________________________
Floor/carpet _________________________________________________
Porch and patio lights _________________________________________
____________________________________________________________
Smoke alarms (push button to test) ______________________________
Doors, stops, locks ____________________________________________
Other detectors ______________________________________________
Windows, latches, screens ______________________________________
Alarm system ________________________________________________
Window coverings ____________________________________________
Fire extinguishers
_______________
(look at charge level—BUT DON'T TEST!)
Sink, faucet, handles, stopper ___________________________________
Garage door opener ___________________________________________
Countertops _________________________________________________
Gate access card(s) ____________________________________________
Mirror ______________________________________________________
Other _______________________________________________________
Cabinets, drawers, handles _____________________________________
____________________________________________________________
Toilet, paper holder ___________________________________________
Pest-related concerns _________________________________________
Tile ________________________________________________________
____________________________________________________________
Plumbing leaks, water stains or mold on walls, ceilings or baseboards
____________________________________________________________
Date of Move-In: _____________________________________________
Other _______________________________________________________
or Date of Move-Out: _________________________________________
Acknowledgment. You acknowledge that you have inspected and tested all of the safety-related items (if in the dwelling) and that they are working, ex-
cept as noted above. All items will be assumed to be in good condition unless otherwise noted on this form. You acknowledge receiving written operating
instructions on the alarm system and gate access entry systems (if there are any). You acknowledge testing the smoke alarms and any other detector(s) and
verify they are operating correctly. You acknowledge that you and our representative have inspected the dwelling and that no signs of bed bugs or other
pests are present.
In signing below, you accept this inventory as part of the Lease Contract and agree that it accurately refl ects the condition of the
premises for purposes of determining any refund due to you when you move out and for bringing to our attention any safety or pest-
related concerns.
Resident or Resident’s Agent: ________________________________________________________________
Date of Signing: ___________________
Owner or Owner’s Representative: ___________________________________________________________
Date of Signing: ___________________
TAA Offi cial Statewide Form 15-H, Revised January, 2015
Copyright 2015, Texas Apartment Association, Inc.

Download Form 15-H Inventory and Condition Form - Texas Apartment Association - Texas

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