DATE:

, 20
, at





, California.
Items left blank or unchecked are not applicable.
FACTS:
CONDITION OF FURNISHINGS ADDENDUM
and Inventory
NOTE: This form is used by a property manager or landlord when conducting a pre-occupancy inspection with a residential
tenant on entering into a rental or lease agreement for a furnished unit, to document the condition of the furnishings and
personal property inventory.
1. This is an addendum to the following
� Lease agreement [See RPI Form 550]
� Rental agreement [See RPI Form 551]
� Occupancy agreement [See RPI Form 593]
�




1.1 � of same date, or dated


, 20
,
1.2 � entered into by





, as the Landlord,
1.3 and



, as the Tenant,
1.4 regarding real estate referred to as










AGREEMENT:
2. Landlord and Tenant have jointly inspected the furniture
and furnishings and agree they are in satisfactory and
sanitary condition.
3. Only those items checked are unsatisfactory and
explained under "REMARKS."
4. The quantity of furnishings entered on this form are
accepted by Tenant.
5. Reimbursement for any loss, damage or excess wear
and tear on furnishings provided to Tenant will be
deducted from Tenant's security deposit.
6. LIVING ROOM
� Carpet

� Chairs
#

� Draperies

� End tables #

� Window coverings � Coffee tables #

� Wall coverings
� Lamps
#

� Couch
#
� Shelves
� Pictures
#
�



7. KITCHEN
� Tile/linoleum
� Chairs
#

� Window coverings
� Range
� Refrigerator
� Cabinets
� Table
#
�



8. BEDROOM:
� Double bed #

� Night stands #

� Single bed
#

� Lamps
#

� Headboards #

� Bureau
#

� Mattress
#

� Pictures
#

� Box springs #

� Mirror
#

� Bed frame
#

�



9. SECOND BEDROOM
� Double bed #

� Night stands #

� Single bed
#

� Lamps
#

� Headboards #

� Bureau
#

� Mattress
#

� Pictures
#

� Box springs #

� Mirror
#

10. BATHROOM:
� Medicine cabinet

� Shower tub
� Shelves/fittings

� Shower enclosure
� Toilet


�



11. REMARKS:








































































































I agree to the terms stated above.
Date:



, 20

Landlord/Agent:





Signature:






Address:






Phone:


Fax:



Email:






I agree to the terms stated above.
� See Signature Page Addendum. [RPI Form 251]
Date:



, 20

Tenant:






Signature:






Address:






Phone:


Fax:



Email:






FORM 561
11-10
©2017 RPI — Realty Publications, Inc., P.O. BOX 5707, RIVERSIDE, CA 92517