Community Room Electronic Clean-Up Checklist Name * First Name Last Name Address Phone (###) ### #### Email * Date * MM DD YYYY This form along with the community room keys. Should be filled out & submitted, keys should be placed in an envelope and delivered to 98 Charter Circle within 24 hours of your completed event and report. This form must be completed and submitted in order for your security deposit to be released. The Superintendent will inspect the community rooms for cleanliness and damage, and will instruct Stillman Management to release the renting Shareholders deposit check if the room is left in satisfactory condition. Checkbox All furniture has been returned to the original set up. Table tops and chairs are clean and free of damage. Floor is free of debris and has been swept/vacuumed and mopped. Bathroom floors and fixtures are clean and undamaged. Kitchen and appliances ( if used) are clean and undamaged. All personal belongings are removed; all garbage has been removed and placed in the appropriate dumpster. All windows are close and locked. The thermostat is left at 60 degrees. The refrigerator setting is at #3. The air conditioner is turned off. The common door is double locked ( both top and bottom) I/We certify that the community room has been leftin good order and the checklist items have been completed. Your electronic signature below signifies you have read the above statement and understand the responsibility. * Renting Shareholders Signature This section to be completed by the Superintendent. Date MM DD YYYY I certify that the above mentioned shareholder(s) had met the community room standards. Signature Deposit check authorization for release. Yes No If No, please indicate the reason why. Thank you!