SAMPLE. (TAR-2006) Tenants:,,, & Landlord or Landlord's Representative:,

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TEXAS ASSOCIATION OF REALTORS RESIDENTIAL LEASE INVENTORY AND CONDITION FORM USE OF THIS FORM BY PERSONS WHO ARE NOT MEMBERS OF THE TEXAS ASSOCIATION OF REALTORS IS NOT AUTHORIZED. Texas Association of REALTORS, Inc. 2014 INVENTORY AND CONDITION FORM CONCERNING THE PROPERTY AT, Houston, TX 77001 Complete the move-in section of this form and return it to your Landlord within the time required by your lease. All items are presumed to be in good condition unless noted otherwise. Test all locks, window latches, smoke alarms, and equipment. This form is not a repair request. Submit all requests for repairs separately in accordance with your lease. The Landlord may also use this form upon move-out. Keep a copy for your records. Note any defects in the items listed below. A. Exterior Items Mailbox Fences & Gates Pool/Spa & Equip. Lawn, Trees & Shrubs Undgrd. Lawn Sprinkler Exterior Faucets Roof & Gutters Siding & Paint Driveway Front Door Door Knob & Lock Light/Bulb Door Bell Back Door Door Knob & Lock Light/Bulb Patio or Deck Patio Door Door Knob & Lock Light/Bulb Water Shut-Off Valve Located? B. Garage Ceilings & Walls Floor Auto Door Opener Safety Reversal Remotes Garage Doors Exterior Doors & Stops Storage Room yes no Electrical Breakers Located? yes no C. Entry Page 1 of 6 Terra Residential Services,Inc, 14655 Northwest Fwy Ste 124 Houston, TX 77040 Phone: (713) 895-9966 Fax: (713) 895-9320 Michael Mengden

D. E. F. Living Room Fireplace Dining Room Kitchen & Breakfast Pantry & Shelves & Handles Drawers & Handles Range/Cooktop Page 2 of 6

G. Microwave Dishwasher Oven Racks & Knobs Broiler & Pan Light Cover & Bulb Vent Hood Light & Fan Filter Garbage Disposer Sink & Faucet Refrigerator Shelves & Drawers Light Cover & Bulb Halls H. Family Room Fireplace/Logs/Equip. I. Master Bedroom (1) Page 3 of 6

J. Master Bathroom (1) Doors/Locks/Knobs/Stops Lights & Fans & Handles Tub/Shower & Faucets Toilet/Lid/Seat/Paper Hldr. Heaters & Exhaust Fans Towel Fixtures K. Bedroom (2) L. Bedroom (3) Page 4 of 6

M. N. Bedroom (4) Bathroom (2) Doors/Locks/Knobs/Stops & Handles Tub/Shower & Faucets Toilet/Lid/Seat/Paper Hldr. Heaters & Exhaust Fans Towel Fixtures O. Bathroom (3) Doors/Locks/Knobs/Stops & Handles Tub/Shower & Faucets Toilet/Lid/Seat/Paper Hldr. Heaters & Exhaust Fans Towel Fixtures Page 5 of 6

P. Utility Room & Handles Washer & Dryer W & D Connections Q. Central A/C & Heat Filter Thermostat Window A/C Units Space or Wall Heaters Water Heater Water Softener Alarm System Central Vacuum R. Number of Keys: Received Returned Door keys: Mailbox keys: Security Cards: Garage Door Remotes: Laundry Room Keys: Recreational Facilities Keys/Cards: Received Returned THIS FORM IS NOT A REPAIR REQUEST. SUBMIT ALL REQUESTS FOR REPAIRS SEPARATELY IN ACCORDANCE WITH YOUR LEASE. The undersigned acknowledge that the above is an accurate assessment of the condition of the property as of the date signed. Tenant Sample Tenant Tenant Smoke Alarms: No. of Units: Tested? yes no Working? yes no Door Locks on all exterior doors tested? (including but not limited to patio doors, door from house to garage, front door, and rear doors) yes no Working? yes no Tenant Tenant For Landlord's Use: This form was received by Landlord on (date) (Landlord's or Manager's signature) (TAR-2006) 1-1-14 Page 6 of 6