GR SOC EXAMPLE 2017 SECURE

Forming part of the tenancy agreement for

PROPERTY ADDRESS: 1 Smith House, Manchester.

TENANTS NAMES:

Mr & Mrs. Smith

COMMENCEMENT OF TENANCY: 10th December 2016

[email protected] Tel: 07810 697 437 Fax: 0161 439 1338

GRANT RESIDENTIAL

Property Professional & Reports for the letting Industry

INVENTORY AND SCHEDULE OF CONDITION REPORT

mailto:[email protected]

Page 2 of 20 Signature/Initials: _______________ _______________ _______________ 1 Smith House, Manchester. Mr & Mrs. Smith 10122016 © Grant Residential Reports – Member of APIP & FSB

INVENTORY AND SCHEDULE OF CONDITION DATE OF INSPECTION: 9th December 2016

Property Address: 1 Smith House, Manchester.

ACCOMODATION DETAILS

PROPERTY TYPE 1st

floor apartment BEDROOMS 2 HEATING Gas central heating BATHROOMS 2 BOILER Conventional boiler FURN OR

PART FURN Furnished

ALARM Wall mounted in hallway

GAS METER ELECTRICITY METER WATER METER READING KEYS READING 03109 READING 41362 READING 00371 3 RUKO safety keys, 5 Other keys,

2 Electric fobs, 2 electric gate fobs,

Ref U6S01084301 Ref A04M08190 Ref 04M350826

Location

To the right of main entrance

Location Meter cupboard Location In the path to the front of building

GAS STOP TAP RCD BOARD LOCATION WATER STOP TAP LOCATION BOILER Next tot eh main front door in ground

Wall mounted in the hallway cupboard

Under the sink and next to the water tank

PRIMA conventional boiler with system tank

SAFETY & SECURITY SMOKE ALARMS INTERCOM ENTRY ALARM CONTROL

The alarms and security requires checking by the tenant to satisfy that all items are working correctly.

HOW MANY

PICTURES HELD 198 Ceiling mounted in hallway

TESTED Wall mounted in hallway

TESTED Wall mounted in hallway

TESTED

YES YES YES

GENERAL NOTES:

This report is designed to give you a snapshot of the property at the date of inspection which can be found on page 1 and 2. It is not a survey report, and should not be relied upon in any way other than that of a condition report to safeguard the property and your tenancy. This report will be used at the end of your term when you have vacated to ensure that the property is left in the same condition (accounting for fair wear and tear). The scores given by GRANT RESIDENTIAL are from our own point scoring system which is used at your check out. This will then assist to release your deposit as efficiently as possible from the relevant deposit scheme that it has been registered. Please ensure all furniture is back in the original position, as there may be a charge if not. All photographs are available upon request from [email protected] in High Definition format which will be kept until the end of the tenancy.

TENANTS/LANDLORDS NOTES: If you feel you need to make any adjustments to the report, there is an attached amendment sheet for your use. This can be sent back to your agent or landlord and kept on file until the end of your tenancy.

CHECKOUTS: Check Outs can be arranged with the order form on the back page and sent back to your agent or GRANT RESIDENTIAL direct.



LEGIONELLA INSPECTION CERTIFICATE DATE 9th December 2016 PROPERTY ADDRESS 1 Smith House, Manchester. DATE OF ASSESSMENT 9

th December 2016

ASSESSMENT CARRIED OUT BY John A. Grant DESCRIBE TYPE OF COLD WATER SYSTEM (Mains fed or separate tank)

Mains water fed to internal pipes and supply

DESCRIBE TYPE OF HOT WATER SYSTEM & BOILER (Mains fed or separate tank)

Mains water fed to combination boiler NO TANKS

COLD WATER TEMPERATURE HOT WATER TEMPERATURE READING IN CELSIUS 50.1

°c READING IN CELSIUS 15.7

°c DEFECTS/RISK

None noted

RECOMMENDATION

None noted

Location taken from

Kitchen faucet Location taken from

Kitchen faucet PERSON RESPONSIBLE

COLOUR OF WATER

Clear COLOUR OF WATER

Clear Tenant to report any abnormal changes in water temperature to landlord or agent

REMEDY None noted REMEDY None noted

Cold water must flow from outlets at below 20°c and hot water above 50°c to minimise risk. If the temperature is too high/low then adjustments need to be made to the system.

COLD WATER STORAGE TANKS IS ONE PRESENT No IS IT SEALED N/A IS TEMP BELOW 20°c N/A LOCATION N/A

ANY VISIBLE DEFECTS OR RECOMMENDATIONS N/A NOTES N/A

If any debris is present in the system, it should be drained and thoroughly cleaned. If debris is from corrosion on the tank itself then the tank may need to be replaced. All cold water tanks should have tight fitting lids to prevent debris entering the system. The water in the tank should be below 20°c.

HOT WATER STORAGE TANKS IS ONE PRESENT No IS IT SEALED N/A TEMP SET ABOVE 60°c N/A LOCATION N/A

ANY VISIBLE DEFECTS OR RECOMMENDATIONS N/A NOTES N/A

The temperature setting on the boiler and or hot water tank should be set and maintained at 60°c. The temperature at use: 50°c. N.B. If the temperature is set at above 60°c this can cause scalding to users.

OTHER WATER APPLIANCE RISK ASSESSMENT ARE THERE ANY WATER

OUTLETS THAT ARE LIKELY TO BE USED LESS THAN

ONCE PER WEEK

No LOCATION None noted WHO IS RESPONSIBLE FOR USE AND CLEANLINESS

None noted

All little used outlets should be flushed through weekly by running water through the outlet for 2 minutes.

ARE THERE ANY SHOWER HEADS IN THE PROPERTY

Yes LOCATION Bathroom RESPONSIBILITY FOR USE

Tenant

All shower heads should be cleaned, disinfected and descaled at least once every 6 months.

ARE THERE ANY DEAD PIPES KNOWN

None noted

LOCATION None noted RESPONSIBILITY FOR USE

None noted

Any dead legs in pipework should be removed or the system altered so that water flows through all pipework on a regular basis.

UNOCCUPIED PROPERTIES IS THE PROPERTY LIKELY TO BE LEFT UNOCCUPIED FOR LONG PERIODS OF TIME No RISK LEVEL Low

During periods of un-occupancy all outlets of hot and cold water systems should be flushed through at least once a week for at least 2 minutes. For longer periods consider draining the systems. THIS ASSESMENT SHOULD BE REVIEWED AT LEAST ONCE PER YEAR, AND SPECIFICALLY WHEN THERE IS REASON TO SUSPECT IT IS NO LONGER VALID. MORE INFORMATION CAN BE FOUND ON THE BOTTOM ADVICE PAGES OF THIS DOCUMENTS.

John Grant MAPIP


HALLWAY DESCRIPTION

Full description of items as seen on date of inventory GENERAL CONDITION

1 2 3 4 5 6 7 8 9

CONDITION

Classed as clean unless stated here

WALLS Off white painted over plastered walls, 1 brown wall, 1 claret red painted wall, X

Good condition, impact marks to main entrance, abrasions from impacts,

CEILING White painted over plastered ceiling X

Good clean condition

WOODWORK &

DOOR FRAMES Gloss white painted over hardwood skirting boards and door frames,

X Good condition

DOORS Gloss white finish timber wood doors with metal fittings, clasp lock, bolt lock.

X Good clean condition

FLOORING Cream fitted carpets with metal threshold strips X

Good condition, light greying around edges from age, minor staining to the centre

CURTAINS/ BLINDS

None Noted - - - - - - - - -

None Noted

WINDOWS None Noted - - - - - - - - -

None Noted

LIGHT FITTINGS Modern design multi light glass fittings, Wall mounted glass fitting lights

X Good clean condition and clean all working

RAWL PLUG

NAIL HOLES

DOOR/CUPBOARD HANDLES SOCKETS AND SWITCHES CLEANLINESS DESCRIPTION

0 4 Chrome metal fittings and hinges Silver metal light switches and plug sockets

Good condition 1 2 3 4 5 6 7 8 9

X

Light Fitting

ITEMISED DESCRIPTION Score

2 Foot vase with dried twigs 8

Wall mounted print of naked lady 9

Wall mounted white flat panel radiator 8

Black wood half moon table damaged to top in places with impacts and scratches

6

Chest of lady in purple crazy pave design 8

Wall mounted gold framed print 8

WC

White plastic toilet seat and lid 8

Wall mounted towel rail holder in chrome 8

White ceramic sink unit with chrome fittings 8

Wall mounted bevelled glass mirror 8

White metal toilet brush and holder 8

White ceramic vase with dried twigs 8

Toilet mat in cream 8

Soap dispenser 8

UTILITY CUPBOARD HENRY Vacuum cleaner Ironing board Mop and bucket Clothes basket TEFAL Iron


LOUNGE DESCRIPTION


1 2 3 4 5 6 7 8 9

CONDITION


WALLS Off white painted over plastered walls, Brown feature wall and Red fabric style backing to TV area X

Good condition, no visible damage,



WOODWORK &


X Good condition

DOORS Gloss white finish timber wood doors with metal fittings X



Good condition, light greying around edges from age,

CURTAINS/ BLINDS

Gold drapes with metal curtain poles, white fabric blinds with pull cords X


WINDOWS Double glazed hardwood framed surround window frames with metal handles and fittings X

Good condition and working

LIGHT FITTINGS Multipoint candelabra light fitting with glass beads and Wall mounted matching light fittings

X Good clean condition and clean, 1 bead has been removed and is on the coffee table

RAWL PLUG

NAIL HOLES




X

Light Fitting


L Shaped black fabric sofa 8

Red cushioned lounge chair adjustable 4 Cushions 8

BOSE LIFESTYLE 25 speaker system CD player with remote and Wall mounted cube speakers

9

Large cream long pile rug 8

Red & black metal framed TV stand metal handles 8

Mirror topped coffee table with black frame light scratches to the top

8

Tallboy 3 Drawer black wood chest 8

4 Wall mounted Gold framed prints 8

4 Occasional cushions in beige and red fabric 8

SKY+ HD box with remote 8

BLURAY DVD Player with remote 8

PANASONIC Flat screen TV Wall mounted 8

WICKER basket 8

Glass vase 8

Property File 8


DINING ROOM DESCRIPTION


1 2 3 4 5 6 7 8 9

CONDITION


WALLS Off white painted over plastered walls, 1 Brown fabric style feature wallpaper X




WOODWORK &


X Good condition

DOORS Gloss white finish timber wood doors with metal fittings with glass panels x 4 per door

X Good clean condition



CURTAINS/ BLINDS

Gold drapes with metal curtain poles, white fabric blinds with pull cords X




LIGHT FITTINGS Multipoint candelabra light fitting with glass beads X

Good clean condition and clean

RAWL PLUG

NAIL HOLES




X

Light Fitting


Glass topped circular dining table with metal legs 9

4 Dining chairs cream leather finish metal frames 9

1 am canvas print black & white scene 9


HALLWAY DESCRIPTION


1 2 3 4 5 6 7 8 9

CONDITION


WALLS Off white painted over plastered walls X




WOODWORK &


X Good condition



FLOORING Timber wood grain flooring X


CURTAINS/ BLINDS

Grey roller blinds with metal frame and metal pull strings X




LIGHT FITTINGS Halogen fitted sunken downlighters with metal fittings X


RAWL PLUG

NAIL HOLES



Good condition, 2 drawers have dirty marks in them

1 2 3 4 5 6 7 8 9

X

Light Fitting


Built in chrome weighing scales (Working) 8

Wooden fronted cabinets with metal fittings 8

Glass vase 8

Wall mounted tallboy white panel radiator 9

2 White finish metal breakfast stools 9

Integrated stainless steel sink unit 9

Granite work tops 9

DUALITT Kettle in pink and metal 7

DIALIT toaster in cream and metal 7

FITTED wine cooler with 5 Glass shelves 8

Assorted tea towels & oven trays

Assorted plastic food storage units

Assorted used mismatching crockery and cutlery

Metal breadbin

2 Chopping boards


FITTED KITCHEN APPLIANCES/OTHER GOODS

OVEN

SIEMENS fan assisted electric oven with 2 shelves and 1 tray with grill in Good clean condition

HOB

SIEMENS electric hob in good condition, cleaning marks to top

EXTRACTOR

SIEMENS Overhead extractor fan with 4 working lights in Good clean condition

WASHING MACHINE

FRIDGE

US style fridge freezer with 3 salad boxes, 4 Glass shelves, 6 plastic door shelves, in Good clean condition

MICROWAVE

SIEMENS fitted microwave grill oven with tray in Good clean condition

DISHWASHER

HOTPOINT dishwasher with 2 shelves in Good clean condition

DRYER


FITTED KITCHEN APPLIANCES/OTHER GOODS

4 Modern design plates, 5 assorted cups,

Assorted glasses,

Assorted glasses, including 3 purple wine glasses,

Assorted Utensils USED including Cork screw, can opener, assortment of others

Assorted mismatching cutlery

4 Large white dining plates, 4 matching large bowls, 3 small bowls, 2 side plates, 1 pan.

Assortment of large dishes, cheese grater, cake/flan tin

2 Breakfast stools with white top in Good clean condition


BEDROOM 1 DESCRIPTION


1 2 3 4 5 6 7 8 9

CONDITION


WALLS Off white painted over plastered walls, 1 Fabric leaf patterned walls gold backing X

Good condition, marks around the light switch



WOODWORK &


X Good condition





CURTAINS/ BLINDS

Red fabric drapes with white fabric blinds with metal pull cords X






RAWL PLUG

NAIL HOLES




X

Light Fitting


Double bed divan base with mattress 8

Feather quilt, 4 pillows 8

2 Red fabric cushions, 8

2 Other cushions 8

2 Mirrored bed side tables (One with chip to corner)

7

Mirrored drawer chest with metal handles 8

Fitted white wooden wardrobes with metal handles marks to the fronts

8

Black fabric head board 8


BEDROOM 1 BATHROOM DESCRIPTION


1 2 3 4 5 6 7 8 9

CONDITION


WALLS White ceramic tiled walls with decorative boarder X




WOODWORK &

DOOR FRAMES Gloss white painted over hardwood door frames,

X Good condition



FLOORING White ceramic tiled flooring X


CURTAINS/ BLINDS

None Noted - - - - - - - - -

None Noted





RAWL PLUG

NAIL HOLES



Good condition, minor discolouration to the mastic

1 2 3 4 5 6 7 8 9

X

Light Fitting



Wall mounted chrome toilet roll holder 8

Wall mounted bevelled design mirror with decorative design

8

Wall mounted chrome towel rail holder 8

1 foot white metal bin wi9th metal lid 8

Walk in shower area with glass shower screens and metal fittings with thermostatic shower

8

White ceramic sink unit with chrome fittings 8

Wall mounted frameless mirror 8


STAIRS LANDING DESCRIPTION


1 2 3 4 5 6 7 8 9

CONDITION


WALLS Off white painted over plastered walls, Claret red walls X




WOODWORK &


X Good condition



FLOORING Cream fitted carpets with metal threshold strips, wooden spiral staircase

X Good condition, light greying around edges from age, stairs marked at the top

CURTAINS/ BLINDS

None Noted - - - - - - - - -

None Noted

WINDOWS Double glazed hardwood framed VELUX window frame X


LIGHT FITTINGS Wall mounted glass panelled light fittings X


RAWL PLUG

NAIL HOLES




X

Light Fitting


Wall mounted arched glass mirror decorative design frame and fittings

9

BOILER CUPBOARD

Boiler Mate Boiler tank -

3 Pine shelves 8

Assorted fabric sheets 8

Assorted cushions ALL USED 7


BEDROOM 2 DESCRIPTION


1 2 3 4 5 6 7 8 9

CONDITION


WALLS Off white painted over plastered walls X




WOODWORK &


X Good condition




Good condition, Good clean condition

CURTAINS/ BLINDS

Silver fabric drapes with metal curtain poles and white fabric roller blinds with metal pull cords X




LIGHT FITTINGS Candelabra light fitting with halogen fitted sunken lights around

X Good clean condition and clean

RAWL PLUG

NAIL HOLES




X

Light Fitting


Large Double white framed bed with headboard, mattress, built in TV and PANASONIC DVD Video recorder in Good clean condition

8

2 Mirrored bed side tables with metal handles

2 Beaded bed side lamps with four lights

Black fabric surround around headboard with beaded glass

Red Velvet chair light usage marks

Sheep skin rug in white

Wall mounted flat panelled radiator

Mirrored chest of drawers with metal handles

Large LOVE mirror to wall

Fitted wardrobes with metal handles fitted hangar rails and sliding drawers

Mirrored circular table with drawer


BE$DROOM 2 ENSUITE DESCRIPTION


1 2 3 4 5 6 7 8 9

CONDITION


WALLS White ceramic tiled walls with silver border X




WOODWORK &


X Good condition, peeling off the edge of the cabinets floor mounted



FLOORING Ceramic tiled flooring in grey design discoloured grout X

Discoloured grout

CURTAINS/ BLINDS

3 White fabric blinds with metal base with pull cords in metal X




LIGHT FITTINGS Halogen fitted sunken downlights with metal fittings X

Good clean condition 4 bulbs not working

RAWL PLUG

NAIL HOLES




X

Light Fitting


Wall mounted chrome toilet roll holder 8

White plastic seat and lid 8

White full length bath 8

3 double war mounted cupboards with mirror fronts and metal handles

9

Wall mounted chrome heated towel rail 8

Wall mounted white ceramic sink unit 8

Walk in shower area with glass fronts 8

Cream metal bullet style bin – DIRTY 6



Dear Tenant, Please read the details below. I find this inventory to be a true and accurate description of the property. I understand that I am liable for any additional damage to the property that has not been logged in this inventory. I will inform the landlord of any additional damage that has not been noticed on the inventory within seven days of my tenancy commencing or this inventory being sent to me (whichever is the later). Signed: __________________________ Name: Mr. J. Smith Signed: __________________________ Name: Mrs. J. Smith

Signed: __________________________ Name: ______________________________ Position: _________________________ Dated: __________________________ This inventory was completed on 9th December 2016

John Grant MAPIP

Date returned to office: ___________________________ Received by: ________________________


GUIDE This Inventory and Schedule report is for the protection of both the tenant and the landlord, and to provide a detailed report of the property and its contents at the time of the inspection. It has been compiled by an independent assessor to give an accurate record of the property’s internal and external condition, and its contents. This should not be used as a structural survey report. The date of inspection will be clearly specified, and the photographs presented in the report are electronically date stamped on the encoding should they be relied upon in future. The report will give a general description of items, and not value costing or detailed descriptions as in the case of precious materials or specific types of material. Please be advised that items left in lofts, cellars, locked rooms or inaccessible places have not been noted in the inventory and are the sole responsibility of the landlord. Where inventories are compiled with tenants in situ and it is deemed difficult for us to differentiate between that belonging to the landlord or the tenant, then the report may contain inaccuracies for which we cannot be held responsible. SAFETY DISCLAIMER This inventory only relates to the property contents, fixtures, fittings and furniture. It is no guarantee that the property has passed the relevant safety inspections as required by law. These will be issued by your agent or landlord separately. FURNITURE & FIRE (FIRE SAFETY) REGULATIONS 1993 Any furniture that comes under the above category will be marked clearly on the item. If this is not, then it will be the agent or landlords prerogative to have this removed or dealt with accordingly. If there are not labels to view on the furniture then they will be marked with “None Compliant”. This does not however mean that they do not comply with the law, but means that no appropriate label has been seen. SMOKE DETECTORS It is the tenant’s responsibility to inspect the smoke detectors fitted in the property at regular intervals to ensure that they are in full working order as per the manufacturer’s instructions. This will sometimes mean replacing a battery, and regular testing. LIGHT BULBS All light bulbs working unless otherwise stated on the report. CHECK OUT INSPECTION AT THE END OF THIS TENANCY For this inspection, it is essential that all items be returned to their respective locations as shown on the original inventory before the final checkout inspection is due. Failure to do this may incur costs for additional time in location of items. Any items damaged or missing will be repaired or replaced as necessary and the relevant deduction off the Deposit as required and notified. Tenants are given a period of 7 days from receiving the Schedule of condition to notify Grant Residential or your landlord in writing of any amendments they deem necessary. Should any such notification fail to be delivered within this period, it will be assumed that it is accepted by the tenant as a true reflection of the property at the start of the tenancy.


CLEANING If cookers, oven, hobs and extractors are new or have been professionally cleaned prior to the commencement of the tenancy, the outgoing tenant agrees to meet the cost of having them professionally cleaned on vacation. CARPETS If the carpets are new or have been professionally cleaned prior to occupation, the outgoing tenant will be responsible for meeting the cost of having them cleaned on vacation. REFUSE Please us the bins provided by your local authority and recycle wherever possible – if you have boxes to dispose of, please rip these up and insert these into the respective recycle receptacle. Any larger items will require disposing of at the local tip. CONDENSATION AND DAMP Damp can affect any homes, and generally the most common cause of damp is poor air circulation and closed windows. Since most properties are now double glazed, there has been an increased reporting of damp within properties. A common reason is because although Double Glazing is designed to reduce noise pollution and heat escape, the other side effect is moist air being unable to escape also. The most common signs of damp can present symptoms such as the following: “black spot” – Black spots appearing on wallpaper and painted surfaces Fungal growth Peeling wallpaper Common areas are radiators, windows and doors. Which is where it is either very cold, or goes from hot to cold often. HOW TO COMBAT DAMP: It is imperative that the property has air flowing through it. Leave a window open in a room to the front and the rear for as long as possible at least once a day, and leave doors ajar to allow the air to circulate. If you have an expelair in the kitchen and bathroom, ensure that they are operational before cooking or using the bathroom. Never dry washing on the radiators. Airbricks should be left accessible without furniture put up against it, and properties with air vents should be left open where appropriate. Any patches of spot or fungal growth should be treated with a fungicidal solution or a weak bleach solution and the wall should be allowed to dry out thoroughly before any redecoration is carried out. De-humidifying machines are available to rent or buy. They extract moisture from the air and can be beneficial in most extreme cases. In the event of damp appearing, please inform your agent or landlord to ensure that quick remedy or advice can be given. GAS SAFETY CHECK Once per year your landlord is legally obliged to conduct a Gas Safety Inspection with a GAS SAFE registered engineer. Your landlord

or agent will contact you before this is due.


Guidance on Legionnaires’ Disease for tenants and residents of rented domestic accommodation

Domestic hot and cold water systems can provide an environment where Legionella bacteria can grow. This can cause Legionnaires’ Disease which is a potentially fatal form of pneumonia caused by inhalation of small droplets of contaminated water containing Legionella bacteria. This advice sheet gives tips for residents of rented domestic accommodation such as houses, bungalows and flats in small blocks.

Most importantly, make sure that: Hot water in the system remains hot

Cold water is kept cold

The water is kept circulated In particular, it is important that you – Do not interfere with the settings on your boiler or hot water system. The hot water should be set so that the water is heated up to at least 60°C.

TEL YOUR LANDLORD IF:

The cold water is still running warm after you have initially run off any water which may have accumulated in the pipes. It should not be above 20°C. There are any problems, debris or discolouration in the water.

The boiler or hot water tank are not working properly, particularly if the water is not coming out of the taps at a sufficiently high temperature. It should come out at a temperature of 50°C after it has run for a minute at the latest. WHERE SHOWERS ARE FITTED – If they are used only occasionally then flush them through by running them for at least two minutes every week. Keep out of the way whilst this is being done as far as possible.

Clean the shower head periodically, descale and disinfect it. This should be done at least every six months. VACANT PROPERTY: Where a property is left vacant for any time, e.g. student accommodation over the summer holidays, make sure that when it is occupied again at the outset both hot and cold water systems are flushed through by running all outlets for at least 2 minutes.

Legally, it is your landlord’s responsibility to take precautions to prevent Legionella being present in the hot or cold water system but tenants and residents also have an important part to play in taking these simple and practical

precautions. You are responsible for the use of your property and no liability can be expected from tenants not taking these steps.


CHECK OUT REQUEST ORDER FORM This check out can be arranged by the tenant or the landlord. There is a charge for this Check Out report. Please confirm with your agent or GRANT RESIDENTIAL before ordering. All Check out Reports will be accommodated on the first working day available in the diary after the end date of the tenancy (where available).

PROPERTY ADDRESS

TENANCY END DATE

ACCESS ARRANGEMENT/KEYS

LANDLORD DETAILS If landlord ordering

TENANT DETAILS If tenant ordering

SIGNED BY: _________________________ PRINT NAME: _____________________ DATED: ________________

SEND BACK TO YOUR AGENT OR EMAIL TO [email protected] RECEIVED BY: ________________________ Office: __________________________ SENT TO GRANT RESIDENTIAL ON: __________________________ by Email Fax Phone call Delete as appropriate

DATED: ________________



AMENDMENT SHEET If you notice anything that is not noted on this report then please fill in this sheet and submit it to our office within 7 days of you receiving this report. This will be added to your file as notes.

ROOM NOTES OR DAMAGE DATE NOTICED AND REPORTED

Signed by tenant: _________________________ Print Name: _____________________ DATED: ________________

Received by agent: ________________________ Office: __________________________

Action Required: YES/NO – Delete as appropriate DATED: ________________

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