Kentucky URLTA Move-In and Move-Out Damage List
KENTUCKY URLTA MOVE-IN AND MOVE-OUT DAMAGE LIST
Premises: [STREET ADDRESS, UNIT, CITY, COUNTY, ZIP]
Landlord or agent: [NAME, ADDRESS, CONTACT]
Tenant(s): [NAMES, CONTACT]
Lease begins: [__/__/____] Security deposit: $[AMOUNT]
Separate security deposit account location and number, disclosed to Tenant: [BANK, ADDRESS, ACCOUNT NUMBER]
Before use: KRS 383.580 is part of Kentucky's Uniform Residential Landlord and Tenant Act. KRS 383.500 lets a city, county, or urban-county government adopt that act. Check the current local ordinance before treating these statutory list procedures as mandatory. The parties may also use this report voluntarily to record condition elsewhere.
Local government and adoption ordinance, if applicable: [NAME AND ORDINANCE / NOT CONFIRMED]
1. Initial damage list before deposit
Before Tenant tenders a security deposit, Landlord presents this comprehensive list of existing damage that could support a deposit charge, with the estimated dollar cost to repair each item. Tenant may inspect the unit before occupancy to check the list. Complete a separate row for each claimed defect; attach signed continuation pages if needed.
Initial list delivered: [DATE AND METHOD] Tenant inspection: [DATE / DECLINED]
| Area or item | Existing damage, location, and extent | Estimated repair cost | Photo or attachment |
|---|---|---|---|
| Entry, doors, locks, windows | [DETAILS / NO DAMAGE CLAIMED] | $[AMOUNT / 0] | [REFERENCE / NONE] |
| Walls, ceilings, trim, paint | [DETAILS / NO DAMAGE CLAIMED] | $[AMOUNT / 0] | [REFERENCE / NONE] |
| Floors and carpet, by room | [DETAILS / NO DAMAGE CLAIMED] | $[AMOUNT / 0] | [REFERENCE / NONE] |
| Kitchen surfaces and appliances | [DETAILS / NO DAMAGE CLAIMED] | $[AMOUNT / 0] | [REFERENCE / NONE] |
| Bathrooms and plumbing fixtures | [DETAILS / NO DAMAGE CLAIMED] | $[AMOUNT / 0] | [REFERENCE / NONE] |
| Bedrooms, closets, furnished items | [DETAILS / NO DAMAGE CLAIMED] | $[AMOUNT / 0] | [REFERENCE / NONE] |
| Heating, cooling, electrical fixtures | [DETAILS / NO DAMAGE CLAIMED] | $[AMOUNT / 0] | [REFERENCE / NONE] |
| Other: [IDENTIFY] | [DETAILS / NO DAMAGE CLAIMED] | $[AMOUNT / 0] | [REFERENCE / NONE] |
Continuation pages and dated images: [IDENTIFY / NONE]
If Tenant agrees, Landlord and Tenant sign the initial list. If Tenant refuses to sign, Tenant specifically identifies the disputed items in writing and signs the dissent below. Under KRS 383.580(2), signatures establish the list's accuracy but do not conclusively resolve latent defects.
Tenant's specific written dissent to initial items: [ITEM, CORRECTION, AND REASON / NONE]
Landlord or agent signature: [SIGNATURE] Date: [__/__/____]
Tenant signature on agreed list: [SIGNATURE / DISSENT BELOW] Date: [__/__/____]
Tenant signature on written dissent, if any: [SIGNATURE / NOT APPLICABLE] Date: [__/__/____]
Copy delivered to Tenant: [DATE AND METHOD]
2. Final damage list at termination
At the end of occupancy, Landlord inspects the unit and lists every item claimed against the deposit, with its estimated repair cost. Tenant may inspect the premises to check this final list. Use the initial list and any signed continuation pages when comparing condition. This record does not itself settle the separate deposit accounting.
Occupancy ended: [__/__/____] Landlord inspection: [__/__/____]
Tenant inspection: [DATE / REQUESTED / DECLINED] People present: [NAMES]
| Area or item | Damage claimed at termination | Initial-list reference | Estimated repair cost |
|---|---|---|---|
| Entry, doors, locks, windows | [DETAILS / NO CLAIM] | [PAGE OR PHOTO] | $[AMOUNT / 0] |
| Walls, ceilings, trim, paint | [DETAILS / NO CLAIM] | [PAGE OR PHOTO] | $[AMOUNT / 0] |
| Floors and carpet, by room | [DETAILS / NO CLAIM] | [PAGE OR PHOTO] | $[AMOUNT / 0] |
| Kitchen surfaces and appliances | [DETAILS / NO CLAIM] | [PAGE OR PHOTO] | $[AMOUNT / 0] |
| Bathrooms and plumbing fixtures | [DETAILS / NO CLAIM] | [PAGE OR PHOTO] | $[AMOUNT / 0] |
| Bedrooms, closets, furnished items | [DETAILS / NO CLAIM] | [PAGE OR PHOTO] | $[AMOUNT / 0] |
| Heating, cooling, electrical fixtures | [DETAILS / NO CLAIM] | [PAGE OR PHOTO] | $[AMOUNT / 0] |
| Other: [IDENTIFY] | [DETAILS / NO CLAIM] | [PAGE OR PHOTO] | $[AMOUNT / 0] |
Additional claimed items and estimated costs on signed pages: [IDENTIFY / NONE]
Total estimated repair cost claimed: $[AMOUNT]
If Tenant agrees, Landlord and Tenant sign the final list. If Tenant refuses to sign, Tenant specifically identifies the disputed items in writing and signs the dissent below. KRS 383.580(5) addresses the effect of a specific dissent in a deposit dispute; this form does not decide that dispute.
Tenant's specific written dissent to final items: [ITEM, CORRECTION, AND REASON / NONE]
Landlord or agent signature: [SIGNATURE] Date: [__/__/____]
Tenant signature on agreed list: [SIGNATURE / DISSENT BELOW] Date: [__/__/____]
Tenant signature on written dissent, if any: [SIGNATURE / NOT APPLICABLE] Date: [__/__/____]
Final list delivered to Tenant: [DATE AND METHOD]
Sources and references
About this template
- Last updated
- November 5, 2026
- Citations checked
- November 5, 2026
- Jurisdiction
- Kentucky
- Category
- Landlord & Tenant
Legal authority
- KRS 383.500
- KRS 383.580(1)-(5)
Landlord-tenant paperwork governs who can stay in a property, on what terms, and what happens when something goes wrong. Leases, notices to quit, security deposit demands, and habitability complaints all have state and often city-specific requirements for timing, content, and service. Getting the paperwork right is what makes an eviction actually succeed or a security deposit actually come back, because judges regularly dismiss cases over small procedural mistakes.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
A reviewer verified this template's legal citations against the official source on November 5, 2026.
KRS 383.500 (checked November 5, 2026): "The General Assembly hereby authorizes cities, counties and urban-county governments to enact the provisions of the Uniform Residential Landlord and Tenant Act"
KRS 383.580(2) (checked November 5, 2026): "the prospective tenant shall be presented with a comprehensive listing of any then-existing damage to the unit which would be the basis for a charge against the security deposit"
KRS 383.580(3) (checked November 5, 2026): "At the termination of occupancy, the landlord shall inspect the premises and compile a comprehensive listing of any damage to the unit"
KRS 383.580(1) (checked November 5, 2026): "Prospective tenants shall be informed of the location of the separate account and the account number."
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