房屋附属设施清单

合同附件：房屋附属设施清单

1.装修情况

地面：□木地板□地砖□水泥地□其他___________□有损坏___________ 墙面：□木墙裙□墙纸□乳胶漆□涂料□其他_____□有损坏___________ 窗：□铝合金□塑钢□铁窗□有损坏____________

门：□防盗门□房间门□有损坏____________

2.固定设施

□抽油烟机品牌：________□无损坏___________□有损坏___________ □燃气灶品牌：________□无损坏___________□有损坏___________ □燃气热水器品牌：________□无损坏___________□有损坏___________ □电热水器品牌：________□无损坏___________□有损坏___________ □坐便器品牌：________□无损坏___________□有损坏___________ □蹲便器品牌：________□无损坏___________□有损坏___________ □淋浴器品牌：________□无损坏___________□有损坏___________ □洗面盆品牌：________□无损坏___________□有损坏___________

3.电器家具

□电视品牌：___数量：___遥控器：___ □无损坏□有损坏___________ □冰箱品牌：___数量：___ □无损坏□有损坏___________ □洗衣机品牌：___数量：___ □无损坏□有损坏___________ □空调品牌：___数量：___遥控器：___ □无损坏□有损坏___________ □洗衣机品牌：___数量：___ □无损坏□有损坏___________ □微波炉品牌：________□无损坏___________□有损坏___________ □饮水机品牌：________□无损坏___________□有损坏___________ □DVD 品牌：___数量：___遥控器：___ □无损坏□有损坏___________ □音响品牌：___数量：___遥控器：___ □无损坏□有损坏___________ □电话电话号码：____________ □有话机□无话机___________

□床数量：__________________ □无损坏□有损坏____________ □床垫数量：__________________ □无损坏□有损坏____________ □衣柜数量：__________________ □无损坏□有损坏____________ □书桌数量：__________________ □无损坏□有损坏____________ □餐桌数量：__________________ □无损坏□有损坏____________□沙发数量：__________________ □无损坏□有损坏____________□茶几数量：__________________ □无损坏□有损坏____________□梳妆台数量：__________________ □无损坏□有损坏____________□茶几数量：__________________ □无损坏□有损坏____________□椅子数量：__________________ □无损坏□有损坏____________

□其它

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4.其它

□钥匙（共___套，每套___把）□电费卡□气费卡□门禁卡___张□其它

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甲方（出租方）（签章）：_________ 乙方（承租方）（签章）___________ 授权代表（签字）：_________ 授权代表（签字）__________ _____年_____月____日_____年_____月____日