Print this form and use it when you inspect the places you would like to rent.
APARTMENT ADDRESS:
LANDLORD’S NAME:
LANDLORD’S PHONE:
Lease/Rent Period [year, monthly, weekly, other]:
OVERALL RATING: [poor]
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2
3
4
5
6
7
8
9
10 [excellent]
QUICK FACTS
Date available
Monthly rent
Rent due by
Security deposit
Application fee
Heat included
Gas included
Electric included
Water included
Sewer included
LANDLORD SUPPLIED ITEMS
Refrigerator
Stove
Washing machine [in unit?]
Dryer [in unit?]
Dishwasher
Garbage disposal in sink
Air Conditioning [central, window, other]
GENERAL ITEMS
Pets allowed
Central air conditioning
Can control the heat and A/C [thermostat]
I will have my own gas and electric meter [so I only pay for MY unit]
Washer hook-ups and drains
Gas or 220 electric line for dryer/stove
Enough outlets
Outlets are grounded [have three prongs?]
Cable/satellite ready
Enough closet, cabinet, & storage space
Insulated walls [must ask landlord]
Storm windows [more efficient to heat]
Screens for the windows
Lower ceilings [more efficient to heat]
Free of roaches, rats, mice, or ants
Free of visible water damage or leaks
Enough water pressure
Hot water tank large enough [at least 40-gallons]
Is landlord responsible for snow removal and lawn care?
Laundry facilities on-site
SAFETY ITEMS
Emergency exits
24/7 emergency maintenance
Smoke detectors work
Carbon monoxide detectors work
Grounded plugs and ground fault interrupters
Windows Lock
Windows function [open & stay up]
Built in 1978 or later [little chance of lead hazard from paint chips and dust]
Working locks/chains on all doors
Well-lit halls, stairwells, & outside areas
Solid railings around all balconies, decks, & other drop-offs
Fire extinguisher
No asbestos hazards: flaking ceiling tiles, or crumbling pipe wrap or insulation
COMMUNITY ITEMS
Near to school/work [save money by living close]
Near to grocery, bank, post office, health facility, laundromat, etc.
Close to public transportation?
Your overall impression of the rental unit:
Thanks to HousingCleveland.org for developing the original form and for the permission to modify it and use it here.