• Property Assessment Form

• 
  
• Date
• Landlord Name*
• Phone

  --
• Email
• Tenant Name*
• Phone

  --
• Email
• Property Address*

  Street Address 1

  Street Address 2

  City

  State/Province/Region

  Postal/Zip Code

  Country
• 
  

• Assessment

• 
  
• Exterior

  	Good Condition	Light Damage	Repair Needed	Missing
  Doors
  Windows
  Yard/Landscape
  Doorbell
  Mailbox

• Kitchen

  	Good Condition	Light Damage	Repair Needed	Missing
  Walls/Trim/Ceiling
  Light Fixtures
  Switches/Plugs
  Windows
  Refrigerator/Freezer
  Microwave
  Dishwasher
  Garbage Disposal
  Oven
  Floor
  Doors
  Sink/Plumbing
  Cabinets - Doors, Shelves, Drawers

• Living Room/Dining Room

  	Good Condition	Light Damage	Repair Needed	Missing
  Walls/Trim/Ceiling
  Light Fixtures
  Switches/Plugs
  Windows
  Doors
  Window Treatments
  Flooring/Carpet
  Entry Closet/Shelves

• Bathroom

  	Good Condition	Light Damage	Repair Needed	Missing
  Walls/Trim/Ceiling
  Light Fixtures
  Switches/Plugs
  Windows
  Window Treatments
  Toilet
  Sink/Plumbing
  Shower/Tub
  Shower Door
  Towel/Toilet Paper Bar
  Door

• Bedroom

  	Good Condition	Light Damage	Repair Needed	Missing
  Walls/Trim/Ceiling
  Light Fixtures
  Switches/Plugs
  Windows
  Window Treatments
  Closet Doors/Shelves
  Flooring/Carpets
  Door

• Bedroom

  	Good Condition	Light Damage	Repair Needed	Missing
  Walls/Trim/Ceiling
  Light Fixtures
  Switches/Plugs
  Windows
  Window Treatments
  Closet Doors/Shelves
  Flooring/Carpets
  Door

• Miscellaneous

  Enter Column Label	Good Condition	Light Damage	Repair Needed	Missing
  Air Conditioner
  Furnace
  Thermostat
  Dryer
  Washer
  Hall Closets - Doors, Shelves
  Door Locks/Security
  Intercom

• 
  
• Landlord/Management Signature*