Rental Form of the Month of September

Copy and Paste (I don't know how this is going to show up on here, I copy and pasted it from my lease. You may have to format it to get it looking better.)

Date of Possession Condition Inspection

_____/_____/_____

Kitchen Bathroom

Walls Exc. VG G F P Walls Exc. VG G F P

Flooring ( ) ( ) ( ) ( ) ( ) Flooring ( ) ( ) ( ) ( ) ( )

Stove cond. ( ) ( ) ( ) ( ) ( ) Toilet ( ) ( ) ( ) ( ) ( )

Cleanliness ( ) ( ) ( ) ( ) ( ) Toilet Top ( ) ( ) ( ) ( ) ( )

Refrigerator ( ) ( ) ( ) ( ) ( ) Tub ( ) ( ) ( ) ( ) ( )

Cleanliness ( ) ( ) ( ) ( ) ( ) Shower Liner ( ) ( ) ( ) ( ) ( )

Livingroom Diningroom

Walls Exc. VG G F P Walls Exc. VG G F P

Flooring ( ) ( ) ( ) ( ) ( ) Flooring ( ) ( ) ( ) ( ) ( )

Doors ( ) ( ) ( ) ( ) ( ) Doors ( ) ( ) ( ) ( ) ( )

Windows ( ) ( ) ( ) ( ) ( ) Windows ( ) ( ) ( ) ( ) ( )

Screens ( ) ( ) ( ) ( ) ( ) Screens ( ) ( ) ( ) ( ) ( )

Front Bedroom Middle Bedroom

Walls Exc. VG G F P Walls Exc. VG G F P

Flooring ( ) ( ) ( ) ( ) ( ) Flooring ( ) ( ) ( ) ( ) ( )

Doors ( ) ( ) ( ) ( ) ( ) Doors ( ) ( ) ( ) ( ) ( )

Windows ( ) ( ) ( ) ( ) ( ) Windows ( ) ( ) ( ) ( ) ( )

Screens ( ) ( ) ( ) ( ) ( ) Screens ( ) ( ) ( ) ( ) ( )

Rear Bedroom Apartment/Basement/Yard

Walls Exc. VG G F P Overall apartment Exc. VG G F P

Flooring ( ) ( ) ( ) ( ) ( ) Basement ( ) ( ) ( ) ( ) ( )

Doors ( ) ( ) ( ) ( ) ( ) Yard ( ) ( ) ( ) ( ) ( )

Windows ( ) ( ) ( ) ( ) ( ) Front Porch ( ) ( ) ( ) ( ) ( )

Screens ( ) ( ) ( ) ( ) ( ) Rear Porch ( ) ( ) ( ) ( ) ( )

There is/are ______ working smoke detectors located ____________ _______________ _______________.

Tenant acknowledges receipt of _____ Apartment door key(s):

_____ Main door key(s)

_____ Mail Box key(s)

Should this/these key(s) not be returned upon vacating this property, tenant (s) understand that a

$20.00 /key charge shall be assessed and deducted from the Security Deposit.

Tenant has inspected this unit with the Landlord and agrees with this Condition Report.

Tenant _____________________________ Tenant ____________________________

Tenant _____________________________ Tenant ____________________________

Property Manager/Owner:__________________________

Move-Out and Repair Charges

Shown below is a list of itemized charges for the most common tasks we have to perform when

tenants move out and leave their dwelling in need of maintenance. Please note that these

charges are averages. Sometimes the actual prices are higher, and sometimes they are lower, but

most of the time they are exactly as shown. We provide allowances for normal wear and tear,

and for the length of time an item has been in use. Replacement charges include parts and labor.

For additional items not found on this sheet a fee of $20.00 per man hour for cleaning and $35.00 per man hour for repairs will be charges as per lease.

Cleaning Electrical

Clean refrigerator (interior) $20.00 Replace light fixture globe $12.00

Clean (exterior) Remove stickers 20.00 Replace light fixture 45.00

Clean stove top 10.00 Replace electrical outlet/switch 5.00

Clean oven 30.00 Replace outlet/switch cover plate 1.50

Clean stove hood 20.00

Clean kitchen cabinets/6ft. of length 20.00 Plumbing

Clean kitchen floor 35.00 Replace kitchen faucet $100.00

Clean tub/shower and surround 15.00 Replace bathroom faucet 75.00

Clean toilet and sink 15.00 Replace faucet handle 15.00

Clean bathroom cabinets & floor 20.00 Replace faucet aerator 3.50

Vacuum throughout dwelling Replace showerhead 12.00

(normal conditions) 40.00 Replace broken toilet seat 15.00

Vacuum(hasnÕt been done weekly) 80.00 Replace toilet tank lid 25.00

Clean carpet (per room) 40.00 Replace toilet 130.00

Fumigate for fleas 125.00 Replace garbage disposal 80.00

Clean blocked sewer lines 155.00

Floors and Walls (usually caused by food or feminine

Remove carpet stains $45.00 hygiene products flushed down toilet)

Deodorize carpet 85.00 Locks

Repair carpet (per spot) 85.00 Replace key (door or mailbox) $10.00

Repair linoleum (per spot) 75.00 Replace cylindrical door lock 65.00

Replace kitchen linoleum 375.00 Replace passage door lock 15.00-30.00

Replace bathroom linoleum 225.00 Replace deadbolt lock 65.00

Repair floor tile 30.00 Replace mailbox lock 30.00

Replace kitchen floor tile (avg.) 350.00 Miscellaneous Missing and/or Damaged

Replace bath floor tile (average) 150.00 Replace refrigerator shelf $25.00

Remove mildew and treat surface 12.00 Replace oven rack $25.00

Cover crayon marks 35.00 Paint refrigerator 75.00

Repair hole in wall 45.00 Replace stove/oven knob 8.00

Replace ceiling block(each)8.00 Repair plastic countertop 35.00

Repaint(per wall/ceiling) 15.00 Replace plastic countertop 275.00

Remove picture-hanging tape/spot 2.00 Replace medicine cabinet 75.00

Replace mirror for med. Cabinet 25.00

Replace towel bar

Doors and Windows (additional if wall damaged) 12.00

Repair hole in hollow-core door $45.00 Replace shower curtain rod 15.00

Repair forced door damage 65.00 Replace thermostat 60.00

Replace door (inside) 125.00 Replace smoke detector 20.00

Replace door (outside) 225.00 Remove junk and debris/truck load 175.00

Replace windowpane (single) 35.00 Remove shower curtain 5.00

Replace windowpane (double) 95.00 Per chair 25.00

Replace Venetian blind/mini blinds 20.00 Per couch 55.00

Re-screen window screen 15.00 Per sleeper couch 100.00

Replace window screen 25.00 Per A.C. or T.V. 20.00

The above form was provided by a contributor to the MrLandlord.com Q&A Forum, NE from Pennsylvania.

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