Form RD Form 3560-11 RD Form 3560-11 MFH Physical Inspection

Form RD 3560-11 FORM APPROVED
(Rev. 02/11) OMB No. 0575-0174
Department of Agriculture
Rural Development
Multi-Family Housing Physical Inspection
Section I: General Information
Servicing Official:		Date:
Select Type of Visit:		Year Built:
Property Name:
Management Agent Name:		No. of Units:
Borrower Name:		RA Units:
Borrower ID and Project No:	Select Project Type
Indicate A=Acceptable. Acceptable indicates that the condition is satisfactory or up to industry standard. F=Finding. A finding is a failure to meet physical standards that indicate a widespread occurrence or pattern of a physical problem that should be corrected through routine procedures. Health & Safety, or accessibility issues are either a finding or V=Violation (a finding that because of its severity requires using the three servicing letters, and possibly the pursuit of acceleration). N/A=Not Applicable. For each finding or a violation, use the comment section to provide an explanation of the problem including possible corrective action. Indicate the Estimated Completion Date (ECD) in the column provided. The comment section may be used for observations or notes. See FMI for specific instructions.
Section II: Exterior Site Inspection	A	F	V	ECD	N/A
Utilities
Drainage and Erosion Control
Landscaping and Grounds
Drives, Parking Surfaces and Walks
Exterior Signage
Site Accessibility
Fences and Retaining Walls
Debris and Graffiti
Lighting
Foundation
Exterior Walls and Siding
Roofs, Flashing and Gutters
Windows, Doors and Exterior
Common Area Signage
Common Area Accessibility
Comments/Observations (use additional sheet(s) as needed): According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0575-0174. The time required to complete this information collection is estimated to average 2 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
Section III: Unit Inspection Unit #:
Is this unit vacant?:	Date vacated:			Rent ready:
Tenant Name:
Apartment Unit - General	A	F	V	ECD	N/A
Water Heaters
Emergency Call System (if installed)
Fire Protection
Accessibility
Electrical, Air Conditioning and Heating
Insect/Rodent Infestation
Living Room/Dining Room	A	F	V	ECD	N/A
Entrance Door
Walls and Ceilings
Door and Windows
Flooring
Kitchen	A	F	V	ECD	N/A
Walls and Ceilings
Windows
Refrigerator
Range and Range Hood
Sinks
Cabinets
Flooring
Accessibility
Bathroom	A	F	V	ECD	N/A
Water Closet
Bathtub and Shower Stall
Sinks/Vanity
Walls and Ceilings
Doors
Flooring
Accessibility
Bedroom	A	F	V	ECD	N/A
Walls and Ceilings
Door and Windows
Flooring
Comments/Observations (use additional sheet(s) as needed):