RESIDENTIAL RENTAL INSPECTION REPORT

Move-In Inspection Date: _____________________, ________

Move-Out Inspection Date: _____________________, ________

Rental Property Information

Address: 26 Ozark St, Centereach NY 11720

Landlord Information
Name: ____________________
Phone: (____) ______-_________
Email: _________________________

Name: ____________________
Phone: (____) ______-_________
Email: _________________________

Tenant Information
Name: _______________________
Phone: (____) ______-_________
Email:  _________________________

Name: _______________________
Phone: (____) ______-_________
Email:  _________________________

Agent name (if tenant unavailable for inspection): _______________________

Forwarding address (after move-out): ___________________________________

Rental Property Condition

With the tenant (or their agent) present, examine and record the condition of the property in the fields
below. Make sure to test and demonstrate the testing procedure for all smoke alarms and carbon monoxide
detectors and show where any fire extinguishers are stored.  

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 Area Condition at Move-In Condition at Move-Out

Entryway    

Living Room    

Dining Room    

Kitchen    

Bedroom    

Bathroom    

Hallway    

Balcony/Deck/Patio    

Number of keys and controls

e.g. front door key, garage door    
remote

Safety Equipment
e.g. smoke alarm, fire    
extinguishers, etc.

Repairs to be Completed  

Tenant's Initials
Acknowledging Repair Description of Repair Date Fixed
Completed

     
     
     
     
     

Acceptance of Inspection Report

I                                   
                        Tenant Name  

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AGREE that this report fairly represents the condition of the rental property and that the smoke
    
and carbon monoxide alarms were tested in my presence and their testing procedure was
explained to me.
 
   
     DO NOT AGREE that this report fairly represents the condition of the rental property for the
following reasons:
 
_______________________________________________________________________
   
_______________________________________________________________________

                              
                   Signing Date

                                                                       
       Signature of Landlord (or Agent)          Signature of Tenant (or Agent)

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Damage Noted During Move-Out Inspection  

Tenant's Initials
Acknowledging Description of Damage
Damage

   
   
   
   
   

Acceptance of Inspection Report

I                                   
                        Tenant Name  

 
     
AGREE that this report fairly represents the condition of the rental property.

 
 
      DO NOT AGREE that this report fairly represents the condition of the rental property for the
following reasons:
 
_______________________________________________________________________
   
_______________________________________________________________________

                              
                   Signing Date

                                                                       
       Signature of Landlord (or Agent)          Signature of Tenant (or Agent)

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Authorization for Deduction (If Applicable)

I                                                                       agree to the following deductions:

              Name of Tenant (or Agent)  

Amount Description of Deposit

Deducted (e.g. security, pet, etc.)

   
   
   

                                                                  
                   Signing Date          Signature of Tenant (or Agent)

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