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 2026-07-29 · 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
5/03
1
4350.3 REV-1
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
5/03
2
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
5/03
3
Appendix 5
4350.3 REV-1
==> picture [470 x 505] intentionally omitted <==
----- Start of picture text -----
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
----- End of picture text -----**
HUD Occupancy Handbook Appendix 5: Move-In/Move-Out Inspection Format
6/07
1
Get a plain-English answer with a citation back to this text.
Ask AI about this code▸ Contents — HUD Handbook 4350.3 REV-1 — Occupancy Requirements of Subsidized Multifamily Housing Programs
- HUD Handbook 4350.3: Occupancy Requirements of Subsidized Mult…
- Exhibit 3-12: Section 8, RAP, and Rent Supplement Programs – S…
- Exhibit 3-13: Section 236 Without Additional Assistance – Spec…
- Exhibit 3-14: Section 236 With Benefit of Additional Assistanc…
- Document Package for Applicant's/Tenant's Consent to the Relea…
- Exhibit 7-2: Sample Annual Recertification First Reminder Notice
- Exhibit 7-4: Sample Annual Recertification Third Reminder Noti…
- SAMPLE TENANT CONSENT TO DISCLOSE EIV INCOME INFORMATION
- Applying the Model Lease for Subsidized Programs to Individual…
- Applying the Model Leases for Section 202 PRAC and Section 811…
-
▸ Sample Move-In/Move-Out Inspection Form
Overview- Appendix 5: Sample Move-In/Move-Out Inspection Form
- APPENDIX 6: VERIFICATION AND CONSENT – GUIDANCE AND SAMPLE FOR…
- Appendix 6-A: Guidance for Development of Individual Consent F…
- EXAMPLE – Information That Is Not Necessary to Determine Eligi…
- 2. SAMPLE VERIFICATION CONSENT FORMAT
- SAMPLE VERIFICATION CONSENT
- INFORMATION BEING REQUESTED
- PENALTIES FOR MISUSING THIS CONSENT:
- Appendix 6-B: Verification of Disability – Instructions to Own…
- 1. EXPLANATION TO THE APPLICANT
- 2. SAMPLE FORMATS
- FOR USE WITH SECTION 202/8 , SECTION 202 PAC , Section 202 PRA…
- Appendix 6-C: Guidance About Types of Information to Request W…
- 1. Relevant information to verify with third party:
- 2. Acceptable forms of verification:
- B. Date Employment Terminated
- C. Social Security and Supplementary Security Income (SSI)
- 2) Acceptable forms of verification:
- D. Pensions and Disability Income Other Than from the Social S…
- 1. Relevant information to verify with third party:
- E. Unemployment Compensation
- 2. Acceptable forms of verification:
- G. Alimony or Child Support Payments
- H. Net Income from a Business
- Recurring Gifts
- K. Assets Disposed of for Less than Fair Market Value During T…
- L. Income from Sale of Real Property Pursuant to a Purchase Mo…
- M. Rental Income from Property Owned by Applicant/Tenant
- Full-Time Student Status
- O. Child Care Expenses
- S. Family Type and Membership in Family
- T. Statutory and HUD Regulatory Preferences – Displacement by …
- 1. Relevant information to verify with third party:
- Memorandum February 5, 2002: Fact Sheets for Project-Based Ass…