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Move–in, Move-out Inspection Form Name_______________________________ Address_____________________________

Please list any existing damage or issues.

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Mail or e-mail w/in 4 weeks of occupancy to: Paul Miller, 2619 122nd St Des Moines, IA 50323 pmiller244@aol.com 515-249-9867

Date_____________


Move In Move Out form