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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]    1     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.
 
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