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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 2026-07-29 · 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

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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

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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

==> 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

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

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