Rental Agreement Condition Report
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AI Summary
The assignment provides a detailed template for a rental agreement condition report. This report outlines the initial and final condition of a rental unit, including necessary repairs and the tenant's acknowledgement of the condition. It also includes sections for landlord and tenant signatures, as well as a space to list damages that the tenant agrees to pay for.
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Form 5 – Rental Unit Condition Report
Complete at beginning and end of tenancy. The tenant is to receive the original and landlord is to keep a
signed copy.
Address of rental unit: Ist Avenue
Landlord’s name: Corry Booker Tenant’s name: Ken Brown
Smoke Alarm – Beginning of Tenancy
The landlord may enter the rental unit at least once a year to test the smoke alarm. The landlord is required to give the
tenant at least 24 hours and not more than 2 weeks’ notice before entering.
There is a smoke alarm in the rental unit Yes No
Location of smoke alarm
The landlord showed the tenant how to test the smoke alarm Yes No
The landlord and tenant tested the smoke alarm Yes No
The smoke alarm is in working condition Yes No
The tenant understands that it is against the law to tamper with a smoke alarm Yes No
Corry Booker 29th September 2017
Print landlord’s name Signature of landlord Date
Ken Brown 29th September 2017
Print tenant’s name Signature of tenant Date
Smoke Alarm – End of Tenancy
The smoke alarm is in working condition Yes No
Corry Booker 30th September 2017
Print landlord’s name Signature of landlord Date
Ken Brown 30th September 2017
Print tenant’s name Signature of tenant Date
Condition Codes:
G=Good B=Broken M=Missing
D=Damaged S=Scratched/Marked
Move-in Date:
1st January 2017
Move-Out Date:
30th September 2017
Cleanliness Codes:
C=Clean DT=Dirty ST=Stained Condition at Beginning of Tenancy Condition at End of Tenancy
Comment Code Comment Code
Ceiling well maintaned and painted G I maintained them G
Walls and Trim painted and clean G &C painted as i left G
Floor smoth tiles G &C floors were in good
condition
G
Countertop was dusted clean C dusted D
Cabinet and Doors in good condition G in good condition G
Stove available G available G
Oven working well G Good condition G
Stove Top good condition G Good condition G
Kitchen Broiler Pan good condition G Good condition G
Sinks and Stoppers well maintained G Good condition G
Garburator stained ST Cleaned C
Refrigerator working well G working G
Crisper good G good G
Ice Trays available G available G
Freezer working well G In Good condition G
Closets opening and closing well G wel maintained G
Dishwasher dirty D Clean M
Lighting Fixtures/Bulbs broken D Repaired G
Windows/Coverings/Screens in good condition G In good condition G
Initialed by: Landlord Corry Booker Tenant Ken Brown
Form 5 (page 1 of 3)
Complete at beginning and end of tenancy. The tenant is to receive the original and landlord is to keep a
signed copy.
Address of rental unit: Ist Avenue
Landlord’s name: Corry Booker Tenant’s name: Ken Brown
Smoke Alarm – Beginning of Tenancy
The landlord may enter the rental unit at least once a year to test the smoke alarm. The landlord is required to give the
tenant at least 24 hours and not more than 2 weeks’ notice before entering.
There is a smoke alarm in the rental unit Yes No
Location of smoke alarm
The landlord showed the tenant how to test the smoke alarm Yes No
The landlord and tenant tested the smoke alarm Yes No
The smoke alarm is in working condition Yes No
The tenant understands that it is against the law to tamper with a smoke alarm Yes No
Corry Booker 29th September 2017
Print landlord’s name Signature of landlord Date
Ken Brown 29th September 2017
Print tenant’s name Signature of tenant Date
Smoke Alarm – End of Tenancy
The smoke alarm is in working condition Yes No
Corry Booker 30th September 2017
Print landlord’s name Signature of landlord Date
Ken Brown 30th September 2017
Print tenant’s name Signature of tenant Date
Condition Codes:
G=Good B=Broken M=Missing
D=Damaged S=Scratched/Marked
Move-in Date:
1st January 2017
Move-Out Date:
30th September 2017
Cleanliness Codes:
C=Clean DT=Dirty ST=Stained Condition at Beginning of Tenancy Condition at End of Tenancy
Comment Code Comment Code
Ceiling well maintaned and painted G I maintained them G
Walls and Trim painted and clean G &C painted as i left G
Floor smoth tiles G &C floors were in good
condition
G
Countertop was dusted clean C dusted D
Cabinet and Doors in good condition G in good condition G
Stove available G available G
Oven working well G Good condition G
Stove Top good condition G Good condition G
Kitchen Broiler Pan good condition G Good condition G
Sinks and Stoppers well maintained G Good condition G
Garburator stained ST Cleaned C
Refrigerator working well G working G
Crisper good G good G
Ice Trays available G available G
Freezer working well G In Good condition G
Closets opening and closing well G wel maintained G
Dishwasher dirty D Clean M
Lighting Fixtures/Bulbs broken D Repaired G
Windows/Coverings/Screens in good condition G In good condition G
Initialed by: Landlord Corry Booker Tenant Ken Brown
Form 5 (page 1 of 3)
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Condition at Beginning of Tenancy Condition at End of Tenancy
Comment Code Comment Code
Ceiling G G
Walls and Trim C G
Floor G G
Air Conditioner ST C
Air Conditioner Cover C G
Living Room TV Cable G G
TV Adapter D C
Closets G G
Lighting Fixtures/Bulbs G maintained G
Windows/Coverings/Screens good condition G stained ST
Ceiling good G broken B
Walls and Trim C C
Dining Room Floor G C
Closets G G
Lighting Fixtures/Bulbs D B
Windows/Coverings/Screens S G
Treads and Landings ST G
Walls and Trim G G
Stairwell and Ceilings G ST
Hall Floor ST C
Lighting Fixtures/Bulbs M G
Windows/Coverings/Screens ST G
Ceiling GG G
Walls and Trim GC C
Floor G C
Bathroom Cabinets and Mirror M D
Tub, Sink and Toilet C
G
Door M G
Lighting Fixtures/Bulbs ST G
Windows/Coverings/Screens ST G
Ceiling G G
Walls and Trim C G
Bedroom (1) Floor C
Gg
Closets G G
Doors M G
Lighting Fixtures/Bulbs G B
Windows/Coverings/Screens G G
Ceiling G G
Walls and Trim C G
Floor ST ST
Bedroom (2) Closets G G
Doors G G
Lighting Fixtures/Bulbs G G
Windows/Coverings/Screens G ST
Stair and Stairwell G C
Walls and Floor C C
Basement Furnace, Water Heater and Plumbing B G
Lighting Fixtures/Bulbs M G
Front and Rear Entrances G G
Patio Doors M G
Garbage Container(s) G M
Exterior Glass and Frames G G
Screens and Storm Windows ST C
Stucco and/or Siding G G
Light Fixtures/Bulbs M G
Yard and Walks C C
Form 5 (page 2 of 4)
Comment Code Comment Code
Ceiling G G
Walls and Trim C G
Floor G G
Air Conditioner ST C
Air Conditioner Cover C G
Living Room TV Cable G G
TV Adapter D C
Closets G G
Lighting Fixtures/Bulbs G maintained G
Windows/Coverings/Screens good condition G stained ST
Ceiling good G broken B
Walls and Trim C C
Dining Room Floor G C
Closets G G
Lighting Fixtures/Bulbs D B
Windows/Coverings/Screens S G
Treads and Landings ST G
Walls and Trim G G
Stairwell and Ceilings G ST
Hall Floor ST C
Lighting Fixtures/Bulbs M G
Windows/Coverings/Screens ST G
Ceiling GG G
Walls and Trim GC C
Floor G C
Bathroom Cabinets and Mirror M D
Tub, Sink and Toilet C
G
Door M G
Lighting Fixtures/Bulbs ST G
Windows/Coverings/Screens ST G
Ceiling G G
Walls and Trim C G
Bedroom (1) Floor C
Gg
Closets G G
Doors M G
Lighting Fixtures/Bulbs G B
Windows/Coverings/Screens G G
Ceiling G G
Walls and Trim C G
Floor ST ST
Bedroom (2) Closets G G
Doors G G
Lighting Fixtures/Bulbs G G
Windows/Coverings/Screens G ST
Stair and Stairwell G C
Walls and Floor C C
Basement Furnace, Water Heater and Plumbing B G
Lighting Fixtures/Bulbs M G
Front and Rear Entrances G G
Patio Doors M G
Garbage Container(s) G M
Exterior Glass and Frames G G
Screens and Storm Windows ST C
Stucco and/or Siding G G
Light Fixtures/Bulbs M G
Yard and Walks C C
Form 5 (page 2 of 4)
Garage or Parking Area G G
Keys Number of Keys Two 2 2 2
Initialed by: Landlord Tenant
Note: If a room or feature is not covered in this form and you think it’s important, include it on an attached page.
Beginning of Tenancy
Move-in Inspection Completed 29th September 2017
(month/day/year)
Signature of landlord Signature of tenant
Check one of the following and sign:
agree that this report fairly represents the condition of the rental unit;
do not agree that this report fairly represents the condition of the rental unit for the following reasons:
30th , 20 17
Signature of tenant Date
The rental unit requires the following repairs:
Ceilings, painting wall and floors.
(list repairs)
Landlord agrees to complete repairs by: Date Repairs Completed , 20 17
Acknowledged by:
, 20 17
Date Signature of tenant
, 20 17
Signature of landlord Date
End of Tenancy
Move-out inspection completed
(month/day/year)
Signature of landlord Signature of tenant
Check one of the following and sign: I,
(tenant’s name)
agree that this report fairly represents the condition of the rental unit
do not agree that this report fairly represents the condition of the rental unit for the following reasons:
I, the tenant, agree to pay for the following damages:
Item: Bulb Cost: $2
Item: Cost:
Item: Cost:
Ken Brown
Signature of tenant Date
Form 5 (page 3 of 3)
Keys Number of Keys Two 2 2 2
Initialed by: Landlord Tenant
Note: If a room or feature is not covered in this form and you think it’s important, include it on an attached page.
Beginning of Tenancy
Move-in Inspection Completed 29th September 2017
(month/day/year)
Signature of landlord Signature of tenant
Check one of the following and sign:
agree that this report fairly represents the condition of the rental unit;
do not agree that this report fairly represents the condition of the rental unit for the following reasons:
30th , 20 17
Signature of tenant Date
The rental unit requires the following repairs:
Ceilings, painting wall and floors.
(list repairs)
Landlord agrees to complete repairs by: Date Repairs Completed , 20 17
Acknowledged by:
, 20 17
Date Signature of tenant
, 20 17
Signature of landlord Date
End of Tenancy
Move-out inspection completed
(month/day/year)
Signature of landlord Signature of tenant
Check one of the following and sign: I,
(tenant’s name)
agree that this report fairly represents the condition of the rental unit
do not agree that this report fairly represents the condition of the rental unit for the following reasons:
I, the tenant, agree to pay for the following damages:
Item: Bulb Cost: $2
Item: Cost:
Item: Cost:
Ken Brown
Signature of tenant Date
Form 5 (page 3 of 3)
1 out of 3
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