Move-In Form Name* First Last Email* Apartment Address* Street Address Unit/Apartment Number City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Living RoomFloors & Floor Coverings: Excellent Good Fair Poor Drapes & Window Coverings: Excellent Good Fair Poor Walls & Ceilings: Excellent Good Fair Poor Light Fixtures: Excellent Good Fair Poor Windows, Screens, & Doors: Excellent Good Fair Poor Front Door & Locks: Excellent Good Fair Poor Smoke Detector: Excellent Good Fair Poor Fireplace: Excellent Good Fair Poor Other: Excellent Good Fair Poor Describe Other: KitchenFloors & Floor Coverings: Excellent Good Fair Poor Wall & Ceilings: Excellent Good Fair Poor Light Fixtures: Excellent Good Fair Poor Cabinets: Excellent Good Fair Poor Counters: Excellent Good Fair Poor Stove/Oven: Excellent Good Fair Poor Refrigerator: Excellent Good Fair Poor Dishwasher: Excellent Good Fair Poor Garbage Disposal: Excellent Good Fair Poor Sink & Plumbing: Excellent Good Fair Poor Smoke Detector: Excellent Good Fair Poor Other: Excellent Good Fair Poor Describe Other: Dining RoomFloors & Floor Coverings: Excellent Good Fair Poor Walls & Ceilings: Excellent Good Fair Poor Light Fixtures: Excellent Good Fair Poor Windows, Screens, & Doors: Excellent Good Fair Poor Smoke Detector: Excellent Good Fair Poor Other: Excellent Good Fair Poor Describe Other: BathroomFloors & Floor Coverings: Excellent Good Fair Poor Walls & Ceilings: Excellent Good Fair Poor Light Fixtures: Excellent Good Fair Poor Windows, Screens, & Doors: Excellent Good Fair Poor Bathtub/Shower: Excellent Good Fair Poor Sink & Counters: Excellent Good Fair Poor Toilet: Excellent Good Fair Poor Other: Excellent Good Fair Poor Describe Other: BedroomFloors & Floor Coverings: Excellent Good Fair Poor Drapers & Window Coverings: Excellent Good Fair Poor Walls & Ceilings: Excellent Good Fair Poor Light Fixtures: Excellent Good Fair Poor Windows, Screens, & Doors: Excellent Good Fair Poor Smoke Detector: Excellent Good Fair Poor Other: Excellent Good Fair Poor Describe Other: Other AreasHeating System: Excellent Good Fair Poor Air Conditioning: Excellent Good Fair Poor Lawn & Garden: Excellent Good Fair Poor Stairs & Hallways: Excellent Good Fair Poor Patio, Terrace, Deck, etc.: Excellent Good Fair Poor Basement: Excellent Good Fair Poor Parking Area: Excellent Good Fair Poor Other: Excellent Good Fair Poor Describe Other: Do you have any areas of concern?*Upload Photos Drop files here or Select files Max. file size: 512 MB. Acknowledgement* Tenant(s) acknowledge that all smoke detectors were tested upon move-in and found to be in working order. Tenants agree to test all detectors at least once a month and to report any problems to Landlord/Manager in writing. Tenants agree to replace all smoke detector batteries as necessary. Tenant(s) acknowledge that all light bulbs are in working order. Tenant(s) agree to replace all burnt-out bulbs as necessary and upon move-out. This form is filed jointly with all other roommates acceptance of condition as stated.Move-in checklist completed on:* MM slash DD slash YYYY Signature*CAPTCHA