Fillable Printable Virginia Move-in/Move-out Inspection Report

Virginia Move-in/Move-out Inspection Report

VARFORM1100REV.08/11Page1of6

VIRGINIAASSOCIATIONOFREALTORS®

RESIDENTIALMOVE‐INMOVE‐OUTINSPECTIO NREPORT



ThisMove‐InMove‐OutInspectionReportisbyandbetween__________________________________,Landlord, 

and

Tenant(s),and



AgentforLandlord,dated

_________________forproperty describedas



____________________________________________________________(the“DwellingUnit”),inaccordancewith 

theLeaseAgreementbyandbetweentheparties.



TheDwellingUnitisbeingdeliveredatMove‐InbyLandlordtoTenantinaclean,sanitaryandgoodworking

conditionwithnospots,stains,marksordamages,unlessotherwiseindicatedonthisReport.



Date

ofOccupancy:______________,20__DateofVacating:__________________,20__

ROOMSTOBEINSPECTEDOK

OCCUPANCY

NOTES

OK

VACATE

NOTES

AMOUNT

KITCHEN

Doors

Walls&Ceiling

Floor

Windows&Screens

Drapes

LightFixtures&Outlets

WallCabinets&Hardware

BaseCabinets&Hardware

Range–Fan–Light(Broiler

Pan)



Refrigerator–IceTrays

Sink&Disposal



DININGROOM

Walls&Ceiling

Floor&Carpet

Woodwork

LightFixtures&Outlets

Windows&Screens

Drapes

Doors



LIVINGROOM&HALLWAY

Walls&Ceiling

Floor&Carpet

Woodwork

LightFixtures&Outlets

Windows&Screens

VARFORM1100REV.08/11Page2of6

ROOMSTOBEINSPECTEDOK

OCCUPANCY

NOTES

OK

VACATE

NOTES

AMOUNT

LIVINGROOM&HALLWAY(con’t.)



Drapes

Doors

Closet–StairRailings



BEDROOM#1

Walls&Ceilings

Floor&Carpet

Woodwork

Windows&Screens

Drapes

Doors

LightFixtures&Outlets

Closets



BEDROOM#2

Walls&Ceilings

Floor&Carpet

Woodwork

Windows&Screens

Drapes

Doors

LightFixtures&Outlets

Closets



BEDROOM#3

Walls&Ceilings

Floor&Carpet

Woodwork

Windows&Screens

Drapes

Doors

LightFixtures&Outlets

Closets



BEDROOM#4

Walls&Ceilings

Floor&Carpet

Woodwork

Windows&Screens

Drapes

Doors

VARFORM1100REV.08/11Page3of6

ROOMSTOBEINSPECTEDOK

OCCUPANCY

NOTES

OK

VACATE

NOTES

AMOUNT

BEDROOM#4(con’t.)

LightFixtures&Outlets

Closets



BEDROOM#5

Walls&Ceilings

Floor&Carpet

Woodwork

Windows&Screens

Drapes

Doors

LightFixtures&Outlets

Closets



BATHROOM#1

Walls&Ceiling

Floor

Woodwork

LightFixtures&Outlets

ShowerFixtures

Rods&SoapDishes

MedicineCabinet

Tub

WaterCloset&Seat

Lavatory

Door–TissueHolder–Fan



BATHROOM#2

Walls&Ceiling

Floor

Woodwork

LightFixtures&Outlets

ShowerFixtures

Rods&SoapDishes

MedicineCabinet

Tub

WaterCloset&Seat

Lavatory

Door–TissueHolder–Fan



VARFORM1100REV.08/11Page4of6

ROOMSTOBEINSPECTEDOK

OCCUPANCY

NOTES

OK

VACATE

NOTES

AMOUNT

BATHROOM#3

Walls&Ceiling

Floor

Woodwork

LightFixtures&Outlets

ShowerFixtures

Rods&SoapDishes

MedicineCabinet

Tub

WaterCloset&Seat

Lavatory

Door–TissueHolder–Fan



MISCELLANE OUS 

HeatingUnit

AirConditioningUnit

SmokeDetector

DeadboltLocks

WindowLocks

SlidingGlassDoorSecondary

LockingDevice





OTHER:_________________

Walls&Ceilings

Floor&Carpet

Woodwork

Windows&Screens

Drapes

Doors

LightFixtures&Outlets

Closets



OTHER:_________________

Walls&Ceilings

Floor&Carpet

Woodwork

Windows&Screens

Drapes

Doors

LightFixtures&Outlets

Closets



VARFORM1100REV.08/11Page5of6

ROOMSTOBEINSPECTEDOK

OCCUPANCY

NOTES

OK

VACATE

NOTES

AMOUNT

GARAGE



EXTERIOR





Occupancy

Statewhetherthereisanyvisibleevidenceofmold

intheDwellingUnit:

Yes_______Ifso,statethelocation



No_______

IfYes,dateofre‐inspectionafterremediation:



Statewhetherthereisanyvisibleevidenceofmold

intheDwellingUnituponre‐inspection:

Yes______No_________

Statewhetherthereisanyvisibleevidenceofdisturbedpaint

surfacesintheDwellingUnit:

Yes_______Ifso,statethelocation



No_______

IfYes,dateofre‐inspectionafterrepair:



Statewhetherthereisanyvisibleevidenceofdisturbedpaint

surfacesintheDwellingUnituponre‐inspection:

Yes______No_________

KeysReceived:

FrontDoor_____#received:

MailBox_____#received:



LaundryRoom_____#received:



StorageRoom_____#received:

OtheritemsreceivedbyTenant(s):

PoolPass:_____#received:



GarageOpener:_____#received:



:

_____#received:

:_____#received:





TenantSignatureDate





TenantSignatureDate





TenantSignatureDate





Landlord/AgentSignatureDate

VARFORM1100REV.08/11Page6of6

VACATE

ForwardingAddress:













LeasePeriodFulfilled:Yes

No



WrittenConfirmationofpaymentinfullofallapplicableutility

charges?Yes

No





TenantSignatureDate





TenantSignatureDate





TenantSignatureDate





Landlord/AgentSignatureDate

DEPOSITS

Deposits:$

DelinquentRent:$

UtilitiesCharges:$

Repairand/orCleaningCharges:$

______Dueto/______FromTenant:$



membersingoodstandingwiththeVIRGINIAASSOCIATIONOFREALTORS®.Thereproductionofthisform,inwhole

orinpart,ortheuseofthename"VIRGINIAASSOCIATIONOF

REALTORS®",inconnectionwithanyotherform,is

prohibitedwithoutpriorwrittenconsen tfromtheVIRGINIAASSOCIATION OFREALTORS®.