Indicate the condition of each item using the following codes, as well as comments:
E = Excellent G = Good F = Fair P = Poor M = Missing NA = Not Applicable

BEDROOM		BATHROOM
Floor/Carpet	_____________________________	Floor	_______________________________
Walls	_____________________________	Walls	_______________________________
Ceiling	_____________________________	Ceiling	_______________________________
Woodwork	_____________________________	Woodwork	_______________________________
Lights	_____________________________	Lights	_______________________________
Outlets	_____________________________	Outlets	_______________________________
Windows	_____________________________	Bathtub	_______________________________
Closet	_____________________________	Shower	_______________________________
Door/Lock	_____________________________	Faucets	_______________________________
Curtains	_____________________________	Sink	_______________________________
Furniture:	_____________________________	Toilet	_______________________________
________________________________________		Mirror	_______________________________
________________________________________		Cabinets	_______________________________
________________________________________		Towelracks	_______________________________
________________________________________		Curtains	_______________________________
________________________________________		Door/Lock	_______________________________
________________________________________		Window	_______________________________
________________________________________		Other	_______________________________
________________________________________		__________________________________________
LIVING ROOM		DINING ROOM
Floor/Carpet	_____________________________	Floor/Carpet	_______________________________
Walls	_____________________________	Walls	_______________________________
Ceiling	_____________________________	Ceiling	_______________________________
Woodwork	_____________________________	Woodwork	_______________________________
Windows	_____________________________	Windows	_______________________________
Screens	_____________________________	Screens	_______________________________
Fireplace	_____________________________	Curtains	_______________________________
Curtains	_____________________________	Lights	_______________________________
Lights	_____________________________	Outlets	_______________________________
Outlets	_____________________________	Furniture:	_______________________________
Closet	_____________________________	__________________________________________
Furniture:	_____________________________	__________________________________________
________________________________________		__________________________________________
________________________________________		__________________________________________

KITCHEN		HALLS/STAIRS
Floor	_______________________________	Floor/Carpet	_______________________________
Walls	_______________________________	Walls	_______________________________
Ceiling	_______________________________	Ceiling	_______________________________
Woodwork	_______________________________	Woodwork	_______________________________
Lights	_______________________________	Lights	_______________________________
Outlets	_______________________________	Outlets	_______________________________
Windows	_______________________________	Windows	_______________________________
Door	_______________________________	Other:	_______________________________
Cabinets	_______________________________	___________________________________________
Countertops	_______________________________	___________________________________________
Curtains	_______________________________	___________________________________________
Cuttingboard	_______________________________	___________________________________________
Stove	_______________________________
Oven	_______________________________
Exhaust Fan	_______________________________	OUTSIDE/ENTRANCE
Sink	_______________________________	Porch/Railings	_______________________________
Disposal	_______________________________	Stairways	_______________________________
Refrigerator	_______________________________	Mailbox	_______________________________
Other:	_______________________________	Door/Lock	_______________________________
__________________________________________		Light	_______________________________
__________________________________________		Trashcans	_______________________________
__________________________________________		Gate/Fence	_______________________________
__________________________________________		Other:	_______________________________

ADDITIONAL ITEMS
Air Conditioning	___________________________
Heat	___________________________
Hot Water	___________________________

COMMENTS/NOTES:

SIGNED:

Landlord:		Tenant(s):
________________________________________		_________________________________________
________________________________________		_________________________________________
Date	__________________________________	Date	___________________________________

This form is offered as a matter of service to Stanford affiliates and landlords. Stanford University shall not be liable for any damages whatsoever arising from any errors or omissions made herein.