房屋附属设施清单 Prepared on 22 November 2020
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
______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ 4.其它
□钥匙（共___套，每套___把）□电费卡□气费卡□门禁卡___张
□其它
______________________________________________________________ ______________________________________________________________ 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。