Inventory and Condition Form

Resident’s Name:______Phone (H):______Phone (W):______Resident’s Name:______Phone (H):______Phone (W):______Street Address:______

This form protects you (the resident) and us (the owners). We will use it in determining what should and should not be considered your responsibility upon move-out. Within 48 hours after move-in, you must note on this form all defects or damage and return the form to us. Otherwise, everything will be considered to be in a clean, safe, and good working condition. Please mark through items listed below if they do not exist.

____Move-In or ____Move-Out Condition (Check one)

Living Room Walls______Wallpaper______Plugs, Switches, A/C Vents______Woodwork/Baseboards______Ceiling______General Items Light Fixtures, Bulbs______Thermostat______Floor/Carpet______Cable TV or Master Antenna______Doors, Stops, Locks______A/C Filter______Windows, Latches, Screens______Garage Door______Window Coverings______Ceiling Fans______Closets, Rods, Shelves______Exterior Doors/ Doorbells______Closet Lights, Fixtures______Fireplace______Lamps, Bulbs______Other______Other______

Dining Room Walls______Kitchen Wallpaper______Walls______Plugs, Switches, A/C Vents______Wallpaper______Woodwork/Baseboards______Plugs, Switches, A/C Vents______Ceiling______Woodwork/Baseboards______Light Fixtures, Bulbs______Ceiling______Floor/Carpet______Light Fixtures, Bulbs______Doors, Stops, Locks______Floor/Carpet______Windows, Latches, Screens______Doors, Stops, Locks______Window Coverings______Windows, Latches, Screens______Closets, Rods, Shelves______Window Coverings______Closet Lights, Fixtures______Closets, Rods, Shelves______Lamps, Bulbs______Closet Lights, Fixtures______Other______Lamps, Bulbs______Other______

Initials: ______

of 1 Bedroom (describe which one):______Halls ______Walls______Walls______Wallpaper______Wallpaper______Plugs, Switches, A/C Vents______Plugs, Switches, A/C Vents______Woodwork/Baseboards______Woodwork/Baseboards______Ceiling______Ceiling______Light Fixtures, Bulbs______Light Fixtures, Bulbs______Floor/Carpet______Floor/Carpet______Doors, Stops, Locks______Doors, Stops, Locks______Windows, Latches, Screens______Windows, Latches, Screens______Window Coverings______Window Coverings______Closets, Rods, Shelves______Closets, Rods, Shelves______Closet Lights, Fixtures______Closet Lights, Fixtures______Lamps, Bulbs______Lamps, Bulbs______Other______Other______

Exterior Bedroom (describe which one):______Patio/Yard______Fences/Gates______Walls______Faucets______Wallpaper______Other______Plugs, Switches, A/C Vents______Woodwork/Baseboards______Ceiling______Light Fixtures, Bulbs______Bedroom (describe which one):______Floor/Carpet______Doors, Stops, Locks______Windows, Latches, Screens______Walls______Window Coverings______Wallpaper______Closets, Rods, Shelves______Plugs, Switches, A/C Vents______Closet Lights, Fixtures______Woodwork/Baseboards______Lamps, Bulbs______Ceiling______Other______Light Fixtures, Bulbs______Floor/Carpet______Doors, Stops, Locks______Windows, Latches, Screens______Window Coverings______Closets, Rods, Shelves______Closet Lights, Fixtures______Lamps, Bulbs______Other______

Initials: ______Page 2 of 4 Hall Bath Other______Walls______Wallpaper______Plugs, Switches, A/C Vents______Woodwork/Baseboards______Ceiling______Light Fixtures, Bulbs______Floor/Carpet______Doors, Stops, Locks______Windows, Latches, Screens______Safety Related Items (put “none” if item does Window Coverings______not exist) Closets, Rods, Shelves______Door Knob Locks______Closet Lights, Fixtures______Keyed Deadbolt Locks______Lamps, Bulbs______Keyless Deadbolts______Exhaust Fan/ Heater______Keyless Bolting Devices______Sink, Faucet, Handles, Stopper______Sliding Door Latches______Countertops______Sliding Door Security Bars______Mirror______Sliding Door Pin Locks______Cabinets, Drawers, Handles______Doorviewers______Toilet, Paper Holder______Window Latches______Tile______Porch and Patio Lights______Bathtub, Enclosure, Stopper______Smoke Detectors (push button to test)______Shower, Doors, Rods______Garage Door Opener______Other______Other______

Master Bath Garage Walls______Door ______Wallpaper______Walls ______Plugs, Switches, A/C Vents______Shelves ______Woodwork/Baseboards______Wash/dryer hookups ______Ceiling______Floors ______Light Fixtures, Bulbs______Floor/Carpet______Doors, Stops, Locks______Windows, Latches, Screens______Window Coverings______Closets, Rods, Shelves______Closet Lights, Fixtures______Lamps, Bulbs______Exhaust Fan/ Heater______Sink, Faucet, Handles, Stopper______Countertops______Mirror______Cabinets, Drawers, Handles______Toilet, Paper Holder______Tile______Bathtub, Enclosure, Stopper______Shower, Doors, Rods______

Initials: ______Page 3 of 4 Acknowledgment: You acknowledge that you have inspected and tested all of the safety- related items (if in the dwelling) and that they are working, except as noted above. All items will be assumed to be in good condition unless otherwise noted on this form. You acknowledge testing the smoke detector(s) and verify they are operating correctly.

In signing below, you accept this inventory as part of the Lease Contract and agree that it accurately reflects the condition of the premises for purposes of determining any refund due to you when you move out.

Return the form to: George Cox P.O. Box372 Frankston, TX 75763 903-876-2382 903-262-5359

Resident or Resident’s Agent:______Date:______

Owner or Owner’s Representative:______Date:______