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

Virginia Move-in/Move-out Inspection Report

VARFORM1100REV.08/11 Page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.08/11 Page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.08/11 Page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.08/11 Page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.08/11 Page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.08/11 Page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®.