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

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

Virginia Move-in/Move-out Inspection Report

Virginia Move-in/Move-out Inspection Report

VARFORM1100REV.08/11 Page1of6
VIRGINIAASSOCIATIONOFREALTORS®
RESIDENTIALMOVEINMOVEOUTINSPECTIO NREPORT
This MoveIn MoveOut Inspection Report is by and between __________________________________, Landlord,
and
Tenant(s), and

Agent for Landlord, dated
_________________forproperty describedas
____________________________________________________________ (the “Dwelling Unit”), in accordance with
theLeaseAgreementbyandbetweentheparties.
The Dwelling Unit is being delivered at MoveIn by Landlord to Tenant in a clean, sanitary and good working
conditionwithnospots,stains,marksordamages,unlessotherwiseindicatedonthisReport.
Date
ofOccupancy:______________,20__ DateofVacating:__________________,20__
ROOMSTOBEINSPECTED OK
OCCUPANCY
NOTES
OK
VACATE
NOTES
AMOUNT
KITCHEN
Doors
Walls&Ceiling
Floor
Windows&Screens
Drapes
LightFixtures&Outlets
WallCabinets&Hardware
BaseCabinets&Hardware
Range Fan Light (Broiler
Pan)

RefrigeratorIceTrays
Sink&Disposal


DININGROOM
Walls&Ceiling
Floor&Carpet
Woodwork
LightFixtures&Outlets
Windows&Screens
Drapes
Doors


LIVINGROOM&HALLWAY
Walls&Ceiling
Floor&Carpet
Woodwork
LightFixtures&Outlets
Windows&Screens
VARFORM1100REV.08/11 Page2of6
ROOMSTOBEINSPECTED OK
OCCUPANCY
NOTES
OK
VACATE
NOTES
AMOUNT
LIVINGROOM&HALLWAY(con’t.)
Drapes
Doors
ClosetStairRailings


BEDROOM#1
Walls&Ceilings
Floor&Carpet
Woodwork
Windows&Screens
Drapes
Doors
LightFixtures&Outlets
Closets


BEDROOM#2
Walls&Ceilings
Floor&Carpet
Woodwork
Windows&Screens
Drapes
Doors
LightFixtures&Outlets
Closets


BEDROOM#3
Walls&Ceilings
Floor&Carpet
Woodwork
Windows&Screens
Drapes
Doors
LightFixtures&Outlets
Closets


BEDROOM#4
Walls&Ceilings
Floor&Carpet
Woodwork
Windows&Screens
Drapes
Doors
VARFORM1100REV.08/11 Page3of6
ROOMSTOBEINSPECTED OK
OCCUPANCY
NOTES
OK
VACATE
NOTES
AMOUNT
BEDROOM#4(con’t.)
LightFixtures&Outlets
Closets


BEDROOM#5
Walls&Ceilings
Floor&Carpet
Woodwork
Windows&Screens
Drapes
Doors
LightFixtures&Outlets
Closets


BATHROOM#1
Walls&Ceiling
Floor
Woodwork
LightFixtures&Outlets
ShowerFixtures
Rods&SoapDishes
MedicineCabinet
Tub
WaterCloset&Seat
Lavatory
DoorTissueHolderFan


BATHROOM#2
Walls&Ceiling
Floor
Woodwork
LightFixtures&Outlets
ShowerFixtures
Rods&SoapDishes
MedicineCabinet
Tub
WaterCloset&Seat
Lavatory
DoorTissueHolderFan


VARFORM1100REV.08/11 Page4of6
ROOMSTOBEINSPECTED OK
OCCUPANCY
NOTES
OK
VACATE
NOTES
AMOUNT
BATHROOM#3
Walls&Ceiling
Floor
Woodwork
LightFixtures&Outlets
ShowerFixtures
Rods&SoapDishes
MedicineCabinet
Tub
WaterCloset&Seat
Lavatory
DoorTissueHolderFan


MISCELLANE OUS
HeatingUnit
AirConditioningUnit
SmokeDetector
DeadboltLocks
WindowLocks
SlidingGlassDoorSecondary
LockingDevice



OTHER:_________________
Walls&Ceilings
Floor&Carpet
Woodwork
Windows&Screens
Drapes
Doors
LightFixtures&Outlets
Closets


OTHER:_________________
Walls&Ceilings
Floor&Carpet
Woodwork
Windows&Screens
Drapes
Doors
LightFixtures&Outlets
Closets


VARFORM1100REV.08/11 Page5of6
ROOMSTOBEINSPECTED OK
OCCUPANCY
NOTES
OK
VACATE
NOTES
AMOUNT
GARAGE






EXTERIOR






Occupancy
Statewhetherthereisanyvisibleevidenceofmold
intheDwellingUnit:
Yes_______Ifso,statethelocation
No_______
IfYes,dateofreinspectionafterremediation:
Statewhetherthereisanyvisibleevidenceofmold
intheDwellingUnituponreinspection:
Yes______No_________
Statewhetherthereisanyvisibleevidenceofdisturbedpaint
surfacesintheDwellingUnit:
Yes_______Ifso,statethelocation
No_______
IfYes,dateofreinspectionafterrepair:
Statewhetherthereisanyvisibleevidenceofdisturbedpaint
surfacesintheDwellingUnituponreinspection:
Yes______No_________
KeysReceived:
FrontDoor _____ #received:
MailBox _____ #received:
LaundryRoom _____ #received:
StorageRoom _____ #received:
OtheritemsreceivedbyTenant(s):
PoolPass: _____ #received:
GarageOpener: _____ #received:
:
_____ #received:
: _____ #received:

TenantSignatureDate

TenantSignatureDate

TenantSignatureDate

Landlord/AgentSignatureDate
VARFORM1100REV.08/11 Page6of6
VACATE
ForwardingAddress:




LeasePeriodFulfilled:Yes
No
WrittenConfirmationofpaymentinfullofallapplicableutility
charges?Yes
No

TenantSignatureDate

TenantSignatureDate

TenantSignatureDate

Landlord/AgentSignatureDate
DEPOSITS
Deposits: $
DelinquentRent: $
UtilitiesCharges: $
Repairand/orCleaningCharges: $
______Dueto/______FromTenant: $
COPYRIGHT©2011bytheVIRGINIAASSOCIATIONOFREALTORS®.Allrightsreserved.Thisformmaybeusedonlyby
membersingoodstandingwiththeVIRGINIAASSOCIATIONOFREALTORS®.Thereproductionofthisform,inwhole
orinpart,ortheuseofthename"VIRGINIAASSOCIATIONOF
REALTORS®",inconnectionwithanyotherform,is
prohibitedwithoutpriorwrittenconsen tfromtheVIRGINIAASSOCIATION OFREALTORS®.
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