Fillable Printable Home Inspection Report Template Free
Fillable Printable Home Inspection Report Template Free
Home Inspection Report Template Free
HOME Investment Partnerships Program
Montana Department of Commerce
Exhibit 10D-1 HOME Administration Manual
May 2012
EXHIBIT 10-D
HOME PROGRAM ONSITE INSPECTION FORM
HOME Staff Completing Form: Date:
Project Name: Project Grantee:
Project Address:
1. Has there been a change of ownership?
If Yes, who is the current owner?
2. Is the project in a designated 100-year floodplain?
If yes, is the property insured through the National Flood Insurance Program?
3. Total number of units in project: 4. Number of HOME units in project:
5. What is the rent standard? HOME HOME/LIHTC Blended Project Based Sec 8 RD 515 RD 538 Other
Number of
Subsidy
Total Rent
Bedrooms
A B C D
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
$ -
6. Do tenant files contain income certifications for the
COMMENTS
previous 12 months?
Are the income certifications correct
and complete?
7. Was tenant income re-examined within last 6 yrs using
source documentation?
Prohibited Lease Terms:
8. For projects requiring a lease:
1) Tenant agrees to be sued
a. Provides for 30-day notice of
termination?
b. Contains prohibited terms?
6) Agreement by tenant to waive any right to a trial by jury
7) Agreement by tenant to waive his/her right to appeal a court decision
TENANT INFORMATION - Review Tenant Files for 15% of the HOME Units
Unit Number
or Address
Date of Last
Income Cert
Date of Last HQS
Inspection
Annual Gross
Income*
Monthly
Adjusted
Income**
Tenant
Rent
Utility
Allowance
Household
Members
2) Owner cannot seize or sell tenant's personal property without notice or a
court decision unless tenant vacates property
3) Excusing owner from responsibility for any action or failure to act whether
intentional or negligent
4) Agreement of tenant that owner may institute a lawsuit without notice to
tenant
5) Agreement of tenant that owner may evict tenant without instituting a civil
court proceeding
+ + =
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
HOME Investment Partnerships Program
Montana Department of Commerce
Exhibit 10D-2 HOME Administration Manual
May 2012
8) Tenant chargeable with cost of legal fees regardless of outcome
TENANT SELECTION/MARKETING
9. Maintains and follows an COMMENTS
approved tenant selection policy?
10. Fair Housing Poster is displayed
in a public area?
11. For projects with 5+ HOME units:
a. Does the project have an approved
Affirmative Fair Housing Marketing
(AFHM) Plan?
b. Is there documentation showing that
the organizations in the AFHM Plan are
contacted yearly?
c. Is race/ethnicity data collected and
maintained for all applicants to this
project?
d. Do all public advertisements contain
the Equal Housing Opportunity logo?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
HOME Investment Partnerships Program
Montana Department of Commerce
Exhibit 10D-3 HOME Administration Manual
May 2012
HOME Investment Partnerships Program
Montana Department of Commerce
Exhibit 10D-4 HOME Administration Manual
May 2012
HQS PROPERTY INSPECTION CHECKLIST
EXTERIOR: COMMENTS
Exterior Walls & Foundations
Roof & Gutters
Stairs, Rails and Porches
Chimney
INTERIOR: COMMENTS
Floors - Sound & free of defects
Ceilings - Sound & free of defects
Walls - Sound & free of defects
Electricity & Electric Hazards
Windows
Security - Windows & Doors
Refrigerators & Stoves/Ranges
Kitchen Sinks
Bathroom Sinks, Toilets, Tubs/Showers
Bathroom Ventilation
Smoke Alarms
HEATING & PLUMBING
Heating Equipment Adequate & Safe
Ventilation & Adequacy of Cooling
Water Heater
Water Supply
Plumbing
Sewer Connection
COMMON SPACE:
Stairs, Hallways, Common Areas
GENERAL HEALTH & SAFETY:
Fire Exits
Elevator(s)
Pass
Fail
Inconclusive
Pass
Fail
Inconclusive
Pass
Fail
Inconclusive
Pass
Fail
Inconclusive
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Pass
Fail
Not Inspected
Not Inspected
