Nebraska Landlord Tenant Checklist

LANDLORD-TENANT CHECKLIST
Street address & City:
Condition on Arrival
Condition on Departure Estimated cost of
Repair/Replacement
LIVING ROOM
Drapes & Window Coverings
Fireplace
Floors & Floor Covering
Front Door & Locks
Light Fixtures
Walls & Ceilings
Windows, Screens & Doors
Other
Other
KITCHEN
Cabinets
Counters
Dishwasher
Floor & Floor Coverings
Garbage Disposal
Light Fixtures
Refrigerator
Sink & Plumbing
Stove/Oven
Walls & Ceilings
Windows,
Screens
&
Doors
Other
Other
DINING ROOM
Floors & Floor Coverings
Light Fixtures
Walls & Ceilings
Windows,
Screens
&
Doors
Other
BATHROOM(S)
Bathtub/Shower
Floors & Floor Covering
Light Fixtures
Sink & Counters
Toilet
Walls & Ceilings
Bath 1 Bath 2 Bath 3 Bath 1 Bath 2 Bath 3 Bath 1 Bath 2 Bath 3
Condition on Arrival
BATHROOM(S)
Windows,
Screens
Doors
Other
Other
Condition on Departure Estimated cost of
Repair/Replacement
Bath 1 Bath 2 Bath 3 Bath 1 Bath 2 Bath 3 Bath 1 Bath 2 Bath 3
&
BEDROOM(S)
BR 1
Floor & Floor Coverings
Light Fixtures
Walls & Ceilings
Windows, Screens, &
Doors
Other
Other
Other
Other
BR 2
BR 3
BR 1
BR 2
BR 3
BR 1
BR 2
BR 3
Other Areas
Air Conditioning
Basement
Heating System
Lawn/Garden
Parking Area
Patio, Terrace, Deck, etc.
Stairs and Hallway
Bookcases
Desks
Pictures
Other
Other
Other
Tenants acknowledge that all smoke detectors and fire extinguishers were tested in their presence and
found to be in working order, and that the testing procedure was explained to them. Tenants agree to
test all detectors at least once a month and to report any problems to landlord/Manager in writing.
Tenants agree to replace all smoke detector batteries as necessary.
Use this space to provide any additional explanation:
Landlord-Tenant Checklist completed on moving in on
Landlord/Manager
Tenant
Tenant
, and approved by: