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Sample Move-In/Move-Out Inspection Form

Appendix 5: Sample Move-In/Move-Out Inspection Form

HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs · 2026 edition · updated 2026-10-05 · United States

[Company name] [Company address]

[Company name]
[Company address]
Property Resident
Apartment No. Unit Size Move-In Inspection Date Move-Out Inspection Date
Item Condition Condition Cost to Correct
Move-In Move-Out
ENTRANCE/HALLS
Steps and landings

Handrails
Doors
Hardware/Locks
Floors/Coverings
Walls/Coverings
Ceilings
Windows/Coverings
Lighting1
Electrical Outlets
Closets2
Fire alarms/equipment
LIVINGROOM
Floor/Coverings

Walls/Coverings
Ceiling
Windows/Covering
Lighting1
Electrical outlets

HUD Occupancy Handbook Appendix 5: Move-In/Move-Out Inspection Format

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Appendix 5

Item Condition Condition Cost to Correct
Move-In Move-Out
DININGROOM
Floor/Coverings

Walls/Coverings
Ceiling
Windows/Coverings
Lighting1
Electrical outlets
KITCHEN
Range

Refrigerator
Sink/Faucets3
Floor/Coverings
Walls/Coverings
Ceiling
Windows/Coverings
Lighting1
Electrical outlets
Cabinets
Closets/Pantry2
Exhaust fan
Fire alarms/equipment
BEDROOM(S)
Doors and locks
Floor/Coverings
Walls/Coverings
Ceiling
Windows/Covering
Closets2
Lighting1
Electrical outlets

HUD Occupancy Handbook Appendix 5: Move-In/Move-Out Inspection Format

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Appendix 5

4350.3 REV-1

Item Condition Condition Cost to Correct
Move-In Move-Out
BATHROOM(S)
Sink/Faucets3
Shower/Tub3
Curtain rack/Door
Towel rack
Toilet
Doors/Locks
Floor/Coverings
Walls/Coverings
Ceiling
Windows/Coverings
Closets2
Cabinets
Exhaust fan
Lighting1
Electrical outlets
OTHER EQUIPMENT
Heating Equipment

Air-conditioningunit(s)
Hot-water heater
Smoke/Fire alarms
Thermostat
Door bell
TOTAL
1. Fixtures, Bulbs, Switches, and Timers
2. Floor/Walls/Ceiling, Shelves/Rods, Lighting
3. Water pressure and Hot water

HUD Occupancy Handbook Appendix 5: Move-In/Move-Out Inspection Format

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Appendix 5

4350.3 REV-1

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Move-In Move-Out This unit **is in decent, safe and sanitary condition. ** Any deficiencies identified in this report will be remedied _______________________________ within 30 days of the date the tenant Manager's Signature moves into the unit. _______________________________ Manager's Signature Agree with move-out inspection Disagree with move-out inspection I have inspected the apartment and If disagree, list specific items of found this unit to be in decent, safe disagreement. and sanitary condition. Any deficiencies are noted above. I recognize that I am responsible for keeping the apartment in good condition, with the exception of normal wear. In the event of damage, I agree to pay the cost to restore the apartment to its original condition. _______________________________ Resident's Signature _______________________________ Resident's Signature _______________________________ Resident's Signature _______________________________ Resident's Signature By Date By Date Prepared Prepared Reviewed Reviewed Prepared Prepared Reviewed Reviewed

HUD Occupancy Handbook Appendix 5: Move-In/Move-Out Inspection Format

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▸Contents — HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs

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