West USA Realty

MOVE-IN / MOVE-OUT CONDITION

REAL SOLUTIONS. REALTOR SUCCESS

Page 1 of 6 Document: August 2012

The pre-printed portion of this form has been drafted by the Arizona Association of REALTORS. Any change in the pre-printed language of this form must be made in a prominent manner. No representations are made as to the legal validity, adequacy and/or effects of any provision, including tax consequences thereof. If you desire legal, tax or other professional advice, please consult your attorney, tax advisor or professional consultant.

THIS CHECKLIST is hereby made a part of the Residential Lease Agreement dated Landlord: Tenant: Premises Address: To Be Determined, Valley of the Sun, AZ Move-in Date Move-out Date Inspection Date Inspection Date

by and between

Complete the move-in section of this form and return it to your Landlord within five (5) days or days after occupancy. All items are deemed to be in good condition unless noted otherwise. Test all locks, window latches, smoke detectors, and equipment. This form is not a repair request. Submit all requests for repairs separately in accordance with your lease. You and your Landlord will also use this form upon move-out. Keep a copy for your records. Note any defects in the items listed below. If you fail to return this form you will be held responsible for any damages, and you will be accepting the Premises in its current condition.

EXTERIOR
Fences & Gates Lawn (Trees / Shrubs / Landscaping) Paint Front Door Door Knob and Locks Back Door Door Knob and Locks Fountain Grill Swimming Pool Hot tub / Spa Other: Water Shut-Off Valve Located? COMMENTS: Yes

MOVE-IN Good Good Good Good Good Good Good Good Good Good No

MOVE-OUT Other Other Other Other Other Other Other Other Other Other Yes No

Breaker Panel Located?

GARAGE / CARPORT
Ceilings, Walls, Baseboards Floor / Driveway Auto Door Opener Remotes Garage Door Plugs & Switches Other: COMMENTS:

MOVE-IN Good Good Good Good Good Good Good

MOVE-OUT Other Other Other Other Other Other Other

ENTRY & HALL

Ceiling, Walls (Paint), Baseboards, Vent Covers Doors (Close properly / Condition) Flooring Stairwell / Handrails Light Fixtures Closet Shelves & Rods Other: COMMENTS:

MOVE-IN Good Good Good Good Good Good Good

MOVE-OUT Other Other Other Other Other Other Other

Move-In / Move-Out Condition Checklist August 2012 Copyright 2012 Arizona Association of REALTORS. All rights reserved.

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PAGE 1 of 6
West USA Realty 7077 E. Marilyn Rd., Ste.130 Scottsdale, AZ 85254 Phone: 480.699.6678 Fax: 480.214.9298 Connie Roberts Blank Samples Produced with zipForm by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com

Move-In / Move-Out Condition Checklist

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MOVE-IN Good Good Good Good Good Good Good Good Good MOVE-OUT Other Other Other Other Other Other Other Other Other

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LIVING ROOM
Ceiling, Walls (Paint), Baseboards, Vent Covers Fireplace Doors (Close properly / Condition) Flooring (Note burns, tears, stains) Lights & Ceiling Fans Windows & Screens Window coverings Plugs & Switches Other: COMMENTS:

KITCHEN
Ceiling, Walls (Paint), Baseboards, Vent Covers Flooring Lights Plugs & Switches Cabinets (Close properly / Condition) Drawers (Close properly / Condition) Countertops Sink & Faucet Disposal Dishwasher Microwave Refrigerator Stove Fan, filter & hood Other: COMMENTS:

MOVE-IN Good Good Good Good Good Good Good Good Good Good Good Good Good Good Good

CONDITION Other Other Other Other Other Other Other Other Other Other Other Other Other Other Other

MOVE-OUT

DINING ROOM
Ceiling, Walls (Paint), Baseboards, Vent Covers Flooring Lights & Ceiling Fans Windows & Screens Window coverings Plugs & Switches Other: COMMENTS:

MOVE-IN Good Good Good Good Good Good Good

MOVE-OUT Other Other Other Other Other Other Other

MASTER BEDROOM
Ceiling, Walls (Paint), Baseboards, Vent Covers Doors (Close properly / Condition) Flooring (Note burns, tears, stains) Lights & Ceiling Fans Windows & Screens Window coverings Plugs & Switches Closet Shelves & Rods Other: COMMENTS:

MOVE-IN Good Good Good Good Good Good Good Good Good

MOVE-OUT Other Other Other Other Other Other Other Other Other

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Move-In / Move-Out Condition Checklist August 2012 Copyright 2012 Arizona Association of REALTORS. All rights reserved.

PAGE 2 of 6
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Move-In / Move-Out Condition Checklist

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MOVE-IN Good Good Good Good Good Good Good Good Good MOVE-OUT Other Other Other Other Other Other Other Other Other

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BEDROOM #2
Ceiling, Walls (Paint), Baseboards, Vent Covers Doors (Close properly / Condition) Flooring (Note burns, tears, stains) Lights & Ceiling Fans Windows & Screens Window coverings Plugs & Switches Closet Shelves & Rods Other: COMMENTS:

BEDROOM #3
Ceiling, Walls (Paint), Baseboards, Vent Covers Doors (Close properly / Condition) Flooring (Note burns, tears, stains) Lights & Ceiling Fans Windows & Screens Window coverings Plugs & Switches Closet Shelves & Rods Other: COMMENTS:

MOVE-IN Good Good Good Good Good Good Good Good Good

MOVE-OUT Other Other Other Other Other Other Other Other Other

BEDROOM #4 / DEN / LOFT

Ceiling, Walls (Paint), Baseboards, Vent Covers Doors (Close properly / Condition) Flooring (Note burns, tears, stains) Lights & Ceiling Fans Windows & Screens Window coverings Plugs & Switches Closet Shelves & Rods Other: COMMENTS:

MOVE-IN Good Good Good Good Good Good Good Good Good

MOVE-OUT Other Other Other Other Other Other Other Other Other

BATHROOM (MASTER)
Ceiling, Walls (Paint), Baseboards, Vent Covers Doors (Close properly / Condition) Flooring Light Fixtures Plugs & Switches Cabinets (Close properly / Condition) Countertops Sinks & Faucets Soap dishes, towel bars, shower rod, paper holders secure Mirrors Medicine Cabinet Tub / Shower & Faucets Toilet Plumbing working properly

MOVE-IN Good Good Good Good Good Good Good Good Good Good Good Good Good Good

MOVE-OUT Other Other Other Other Other Other Other Other Other Other Other Other Other Other

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Move-In / Move-Out Condition Checklist August 2012 Copyright 2012 Arizona Association of REALTORS. All rights reserved.

PAGE 3 of 6
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Move-In / Move-Out Condition Checklist Linen Closet Fan Other: COMMENTS:

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Good Good Good Other Other Other

Page 4 of 6

BATHROOM
Ceiling, Walls (Paint), Baseboards, Vent Covers Doors (Close properly / Condition) Flooring Light Fixtures Plugs & Switches Cabinets (Close properly / Condition) Countertops Sinks & Faucets Soap dishes, towel bars, shower rod Tub / Shower & Faucets Toilet Plumbing working properly Fan Other: COMMENTS:

MOVE-IN Good Good Good Good Good Good Good Good Good Good Good Good Good Good

MOVE-OUT Other Other Other Other Other Other Other Other Other Other Other Other Other Other

BATHROOM
Ceiling, Walls (Paint), Baseboards, Vent Covers Doors (Close properly / Condition) Flooring Light Fixtures Plugs & Switches Cabinets (Close properly / Condition) Countertops Sinks & Faucets Soap dishes, towel bars, shower rod Tub / Shower & Faucets Toilet Plumbing working properly Fan Other: COMMENTS:

MOVE-IN Good Good Good Good Good Good Good Good Good Good Good Good Good Good

MOVE-OUT Other Other Other Other Other Other Other Other Other Other Other Other Other Other

UTILITY / LAUNDRY
Fan Cabinets (Close properly / Condition) Sink Washer Dryer Washer / Dryer Hookups Dryer Vent Flooring (Note burns, tears, stains) Doors (Close properly / Condition) Switches Other: COMMENTS:

MOVE-IN Good Good Good Good Good Good Good Good Good Good Good

MOVE-OUT Other Other Other Other Other Other Other Other Other Other Other

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Move-In / Move-Out Condition Checklist August 2012 Copyright 2012 Arizona Association of REALTORS. All rights reserved.

PAGE 4 of 6
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ADDITIONAL
Room Name: MOVE-IN Good Good Good Good Good Good Good Good Good MOVE-OUT Other Other Other Other Other Other Other Other Other MOVE-OUT Other Other Other Other No No No No No Other Other

OTHER
Heating A/C Swamp Cooler Filters size: Fire Sprinklers Security Alarm Smoke Detector(s) Carbon Monoxide Detector Trash Removed

MOVE-IN Good Good Good Good Yes Yes Yes Yes Yes Good Good

COMMENTS:

FIXTURE / PERSONAL PROPERTY

The following fixtures / personal property are also included in the Residence (check all that apply):
QUANTIT BRAN COLO SERIAL CONDITIO

Refrigerator Stove Dishwasher Washer Dryer

COMMENTS:

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Move-In / Move-Out Condition Checklist August 2012 Copyright 2012 Arizona Association of REALTORS. All rights reserved.

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Landlord and Tenant acknowledge that video and/or photos (digital or otherwise) may have been taken of the Premises condition and are in Landlords possession. Tenant may take video and/or photos at Tenants own expense. TENANT AGREES that the above information is an accurate account of the condition and contents of the Premises and acknowledges receiving a copy hereof. Tenant understands that unless otherwise noted, all discrepancies will be Tenants responsibility and will be deducted from the security deposit at time of move out.

*** PLEASE MAKE A COPY FOR YOUR RECORDS ***

MOVE-IN
Completed on this day of , .

^ NAME (PLEASE PRINT)

^ SIGNATURE

DATE

^ NAME (PLEASE PRINT)

^ SIGNATURE

DATE

This checklist must be signed and dated by the Landlord or Property Manager to be deemed received.

^ LANDLORD/PROPERTY MANAGER

DATE

MOVE-OUT
Completed on this day of , .

^ NAME (PLEASE PRINT)

^ SIGNATURE

DATE

^ NAME (PLEASE PRINT)

^ SIGNATURE

DATE

This checklist must be signed and dated by the Landlord or Property Manager to be deemed received.

^ LANDLORD/PROPERTY MANAGER

DATE

For Broker Use Only: Brokerage File/Log No. Manager's Initials Broker's Initials Date
MO/DA/YR

Move-In / Move-Out Condition Checklist August 2012 Copyright 2012 Arizona Association of REALTORS. All rights reserved.

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