ABCDEF
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Resident Name
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Property Address
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Move - in Date
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Today's Date
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Please Note: This form is for documentation purposes only. Please submit maintenance requests separately
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Master Bedroom
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Walls/Ceiling
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Floors
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Windows
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Window Coverings
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Lights
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Other
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Bedroom 1
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Walls/Ceiling
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Floors
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Windows
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Window Coverings
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Lights
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Other
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Bedroom 2
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Walls/Ceiling
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Floors
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Windows
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Window Coverings
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Lights
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Other
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Bathroom
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Walls/Ceiling
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Floors
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Windows
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Window Coverings
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Lights
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Other
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Kitchen
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Walls/Ceiling
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Floors
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Windows
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Window Coverings
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Lights
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other
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Living Room
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Walls/Ceiling
48
Floors
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Windows
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Window Coverings
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Lights
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other
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Dining Room
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Walls/Ceiling
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Floors
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Windows
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Window Coverings
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Lights
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other
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Basement/Storage
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Walls/Ceiling
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Floors
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Windows
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Window Coverings
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Lights
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Other
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Lawn/Miscellaneous
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The undersigned acknowledges that the above statements represent the condition of the property upon moving in
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This document must be filled out and returned (email or mail) to MSB Holdings within 7 days of receipt
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Return signed Form to: MSB Holdings 2562 East Johnson St., Madison, WI 53704 (please make a copy for yourself first), or scan and email back to msbholdings@gmail.com
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608-213-6625
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Resident Signature