CSS-FOL-45-3617E
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Office of the Rentalsman The Residential Tenancies Act Accommodation Inspection Report Complete this form in duplicate. It is in the interest of both the landlord and the tenant to ensure that this is done correctly. This form is to provide an accurate record of the condition of the rented property from the date the tenancy begins until termination. This form should be signed by both the tenant and the landlord or authorized agent. Each party should retain one copy as a permanent record. Tenant’s Information: Last Name First and Middle Names Contact Name for Landlord Apt./Site # Street # and Street Name Municipality Prov. Postal Code Daytime phone # Other phone # Landlord’s Address (Address where documents can be given personally, left for, faxed or mailed to effect service) Fax # for service of documents Email Apt./Site # Street # and Street Name Municipality Prov. Postal Code NB Daytime phone # Other phone # Email Tenant’s Address (Address where documents can be given personally, served or mailed to effect service) Apt./Site # Street # and Street Name Municipality Prov. Postal Code NB Address of the Premises rental unit or mobile home site Last Name / Company Name First and Middle Names Tenancy Began Year Month Day Door Keys Issued Year Month Day Mail Box Keys Issued Year Month Day Tenancy Ended Year Month Day Door Keys Returned Year Month Day Mail Box Keys Returned Year Month Day Ceiling Walls Curtains Floor Cupboards Counter Top Stove Refrigerator Sink Electrical Fixtures Dishwasher Other Kitchen OK IN (Describe Conditions) OK OUT (Describe Conditions) Apt./Site # Street # and Street Name Municipality Prov. Postal Code NB Daytime phone # Other phone # Tenant’s Forwarding Address Upon Termination of Tenancy Tenant(s) should advise the Office of the Rentalsman immediately of any change of address. Please Print LANDLORD’S INFORMATION TENANT’S INFORMATION
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ACCOMADATION INSPECTION REPORTREGARDING CHECKING
Transcript of CSS-FOL-45-3617E
Office of the RentalsmanThe Residential Tenancies Act
Accommodation Inspection ReportComplete this form in duplicate. It is in the interest of both the landlord and the tenant to ensure that this is done correctly. This form is to provide an accurate record of the condition of the rented property from the date the tenancy begins until termination. This form should be signed by both the tenant and the landlord or authorized agent. Each party should retain one copy as a permanent record.
Tenant’s Information: Last Name First and Middle Names
Contact Name for Landlord
Apt./Site # Street # and Street Name Municipality Prov. Postal Code
Daytime phone # Other phone #
Landlord’s Address (Address where documents can be given personally, left for, faxed or mailed to effect service)
Fax # for service of documents Email
Apt./Site # Street # and Street Name Municipality Prov. Postal Code NB
Daytime phone # Other phone # Email
Tenant’s Address (Address where documents can be given personally, served or mailed to effect service)
Apt./Site # Street # and Street Name Municipality Prov. Postal Code NB
Address of the Premises rental unit or mobile home site
Last Name / Company Name First and Middle Names
Tenancy Began Year Month Day
Door Keys Issued Year Month Day
Mail Box Keys Issued Year Month Day
Tenancy Ended Year Month Day
Door Keys Returned Year Month Day
Mail Box Keys Returned Year Month Day
CeilingWallsCurtainsFloorCupboardsCounter TopStoveRefrigeratorSinkElectrical FixturesDishwasherOther
Kitc
hen
OK IN (Describe Conditions) OK OUT (Describe Conditions)
Apt./Site # Street # and Street Name Municipality Prov. Postal Code NB
Daytime phone # Other phone #
Tenant’s Forwarding Address Upon Termination of Tenancy
Tenant(s) should advise the Office of the Rentalsman immediately of any change of address.
Please Print
LANDLORD’S INFORMATION
TENANT’S INFORMATION
City Centre432 Queen StreetP.O. Box 1998Fredericton, NB E3B 5G4Tel: 506-453-2557Fax: 506-457-7289
King’s Square North15 King’s Square NorthP.O. Box 5001Saint John, NB E2L 4Y9Tel: 506-658-2512Fax: 506-658-3096
Place 1604200 Champlain StreetDieppe, NB E1A 1P1Tel: 506-856-2330Fax: 506-856-3177
Executive Tower161 Main StreetP.O. Box 5001Bathurst, NB E2A 3Z9Tel: 506-547-2162Fax: 506-547-2106
City Centre Mall157 Water StreetP.O. Box 5001Campbellton, NB E3N 3H5Tel: 506-789-2362Fax: 506-789-4866
Carrefour Assomption121 de l’Église StreetP.O. Box 5001Edmundston, NB E3V 3L3Tel : 506-735-2000Fax : 506-735-2382
www.snb.ca/irent
Regional Offices
CeilingWallsDrapesFloor / CarpetFurnitureElectrical FixturesFurnitureOther
Livin
g Ro
om
CeilingWallsDrapesFloor / CarpetClosetsElectrical FixturesFurnitureOther
Mas
ter B
edro
om
CeilingWallsDrapesFloor / CarpetClosetsElectrical FixturesFurnitureOther
Seco
nd B
edro
om
CeilingWalls CurtainsFloorSink / VanityBathtub / ShowerToiletElectrical FixturesOther
Bath
Roo
m
Stairs / StairwellCeilingWallsFlooringPlumbingOther
Base
men
t
Windows / ScreensBalcony Garage ParkingOther
Gene
ral
Notes:
Yard
Spac
eOK IN (Describe Conditions) OK OUT (Describe Conditions)
INTenant’s Signature
Landlord’s Signature Date Year Month Day
OUTTenant’s Signature
Landlord’s Signature Date Year Month Day
