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FEATURES <br /> C~rcle Problem Circle Condition LIST DEFERRED MAINTENANCE BELOW Cost of <br /> Items With Points Repairs <br /> <br /> Running Gear: [] Not Inspected Frame: [] Not inspected (If missing, deduct on Page #2 line 3.) <br /> Evidence of Systems or Structure Modifications? [] Yes [] No <br /> Ewclence of Fire or Windstorm Damage? [] Yes [] No <br /> Exterior <br /> Check Exterior <br />Paint/Roof of Unit for <br />Doors/Entry H,U.D./State or <br />Left-Side ANSI A119.1 Std. <br />Right-Side Construction <br />Front-Side Code Labels <br />Rear-Side <br />Storm-Doors RATING/POINTS <br />Storm-Windows ExcL 62 Good 48 <br />Screens-Doors <br />Screens-Windows Fair 34 Poor 20 <br /> [] Living Room [] Dining Room <br />Walls Excl. 13 Good 8 <br />Doors <br />Ceilings Fair 4 Poor 2 <br />Windows/Drapes [] Family [] Great Room -- [] Den <br />Carpeting <br />Floor Linoleum Excl. 13 Good 8 <br /> None 6 <br />Light Fixtures Fair 4 Poor 2 <br /> Kitchen <br />HUD Compliance ExcI. 9 Good 6 <br />Certificate (Post 1975) <br />Walls Fair 3 Poor 2 <br />Doors . [] Utility Room [] Nook <br />Ceilings Excl. 9 Good 6 <br />Windows/Curtains None 4 <br />Floor Covering Fair 3 Poor 2 <br />Counter Tops <br />Sinks Hallway(s) <br />Faucets <br />Cabinets/Doors Excl. 9 Good 6 <br /> None 2 <br />Light Fixtures Fair 3 Poor 2 <br /> Master <br />Walls ExcL 9 Good 6 <br />Doors <br />Ceilings Fair 3 Poor 2 <br />Windows/Curtains Second <br />Floor Covering Excl. 9 Good 6 <br />Cabinets/Doors None 4 <br />Faucets Fair 3 Poor 2 <br />Lavatories Other <br />Water Closets Excl. 9 Good 6 <br />Tub/Showers None 4 <br />Light Fixtures Fair 3 Poor 2 <br /> Master <br />HUD Compliance Excl. 6 Good 4 <br />Certificate (Post 1975) <br />Walls Fair 2 Poor I <br /> Second <br />Doors Excl. 6 Good 4 <br />Ceilings None 3 <br />Windows Fair 2 Poor 1 <br />Carpeting Third <br />Floor Linoleum Excl. 6 Good 4 <br />Closets/Doors None 3 <br />W/R Doors Fair 2 Poor 1 <br /> Olher <br />Light Fixtures ExcL 6 Good 4 <br />Drapes None 3 <br />Curtains Fair 2 Poor 1 <br /> Misc. <br /> Has No <br /> Point Value <br /> I(a) TOTAL $ , <br /> I (Transfer to Line 4 Page 2) <br />TOTAL POINTS <br />(A) (~.o- ^.o~sl <br />CONDITION [] EXCELLENT (140 & Above) Note: Use Important Notice Section Page #10 <br />RATING [] GOOD (139-103) for additional comments, or attach addendum <br />[] FAIR (102-61) sheet(s) if necessary. <br />[] POOR (60 or Less) <br />(Transfer to Page 82 Line 2) <br /> ' Updated 1/92 V.P. PAGE 3 <br /> <br /> <br />