
VARFORM1100REV.08/11 Page1of6
VIRGINIAASSOCIATIONOFREALTORS®
RESIDENTIALMOVE‐INMOVE‐OUTINSPECTIONREPORT
This Move‐In Move‐Out Inspection Report is by and between __________________________________, Landlord,
and
Tenant(s), and
Agent for Landlord, dated
_________________forpropertydescribedas
____________________________________________________________ (the “D welling Unit”), in accordance with
theLeaseAgreementbyandbetweentheparties.
The Dwelling Unit is being delivered at Move‐In by Landlord to Tenant in a clean, sanitary and good working
conditionwithnospots,stains,marksordamages,unlessotherwiseindicatedonthisReport.
Date
ofOccupancy:______________,20__ DateofVacating:__________________,20__
ROOMSTOBEINSPECTED OK
OCCUPANCY
NOTES
OK
VACATE
NOTES
AMOUNT
KITCHEN
Doors
Walls&Ceiling
Floor
Windows&Screens
Drapes
LightFixtures&Outlets
WallCabinets&Hardware
BaseCabinets&Hardware
Range – Fan – Light (Broiler
Pan)
Refrigerator–IceTrays
Sink&Disposal
DININGROOM
Walls&Ceiling
Floor&Carpet
Woodwork
LightFixtures&Outlets
Windows&Screens
Drapes
Doors
LIVINGROOM&HALLWAY
Walls&Ceiling
Floor&Carpet
Woodwork
LightFixtures&Outlets
Windows&Screens