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Move Out Form
Move Out Form
Agent Name
Resident 1
Resident 2
Lease Address
Move out date
MM slash DD slash YYYY
Lease Termination Date
MM slash DD slash YYYY
Resident Forwarding Address
Reason for moving
Bought House
Deceased
Evicted
Health
Move City
Personal
Too Expensive
Transfer Unit
RTN to Owner
Unknown
Cleaning fees per lease
Is Balance on ledger correct?
Enter total unpaid rents
Security Deposit Per Lease
Maintenance Coordination Fee
$100 if unit is not rent ready and maintenance is needed.
Key Charges
Rekey fee $100 $100 IF no key returned $100 door key, $75 Patio Door key $50 mail box key $75 garage door opener.
# Missing Light Bulbs – $10 per Bulb
Please enter the total number of missing bulbs
Carpet Cleaning
• One-bedroom: $125 • Two-bedroom: $150 • Three-bedroom: $175 • Four-bedroom: $225 • Stairs (additional): $75 • Tile cleaning (per room): $65
Painting and Touch Up
• Touch-up paint: $300 • One-bedroom unit: $700 • Two-bedroom flat: $1,000 • Two-bedroom townhome: $1,200 • Three-bedroom flat: $1,200 • Three-bedroom townhome: $1,400 • Four-bedroom unit: $1,700 • Drywall repairs (minimum): $75 • Screw holes: $10 each • Bolt holes: $35 • Kitchen or bath resurface: Actual cost.
Kitchen
• Sink strainer: $10 each • Disposal stopper: $10 • Cabinet doors: Actual cost • Cabinet knobs: $10 each
Applianced
• Control knobs: $25 each • Drip pans: $30 • Oven rack: $40 • Fridge glass shelves: Actual cost • Fridge plastic shelves: $75 each • Filter: $25 if not new, $150 if filter is dirty
Bathroom
• Grab bar: $60 • Towel bar: $30 • Tissue holder: $15 • Toilet lid: $45 • Shower head: $40 • Mirror: $100
Light Globe Fixtures
• Dining area fixture: $100 • Kitchen fixture: $100 • Globes: $50 • Bedroom fixture: $100 • Bathroom fixture: $100
Screens and Doors
• Sliding glass door: $400 • Window screens (each): $45 • Hollow core door: $100 • Solid core door: $250 • Interior knob: $35 each • Exterior knob: $85 each
Blind Replacement
• Window blinds: $50 • Vertical blinds: $150
Miscellaneous
• Clean patio or storage area: $125 • Haul debris (per hour): $100 • Clean patio doors, blinds, mirrors: $25
Attorney and Court Costs
Actual Cost
Early Termination Fees
Yes
No
Other
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