Roomer/landlord Agreement Page 2

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- Page 2 -
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Rent will be due on the ____________ day of every week / month (
).
circle one
date
The rent will be $_____________ per week / month (
) until ______________________(
).
CONTENTS OF ROOM(S) BEING RENTED:
e.g. middle bedroom 2nd floor north side
Description of room(s) and location within the premises are as follows (
):
In this room, items owned by the landlord are: ____________________________________________________
LANDLORD'S RESPONSIBILITY
The landlord is responsible for providing and maintaining the rented premises in a good state of repair to comply with
all applicable health and safety standards. Heat must be maintained at 21degrees Celsius in all occupied areas.
ROOMER'S RESPONSIBILITY
The roomer is responsible for ordinary cleanliness of the rented premises and for the repair of damages incurred by
the roomer or their guests. The roomer is also responsible for providing insurance on personal belongings.
PARKING:
No parking
G
G
Parking will be provided for the Roomer. The designated parking area is:
LAUNDRY:
No laundry facilities
G
restrictions, if any
Use of washer and dryer, (
) __________________________________________
G
e.g. noise, pets, smoking, overnight guests, use of kitchen
HOUSE RULES & AGREEMENTS: (
)
(Additional rules & agreements to be listed and signed on Page 3, comprising part of this license)
THIS AGREEMENT SIGNED ON THE _________DAY OF _______________________, 20 ___
________________________________________
________________________________________
Landlord
Roomer
I HEREBY ACKNOWLEDGE RECEIPT OF A FULLY EXECUTED ORIGINAL COPY OF THIS AGREEMENT
THIS ______ DAY OF ______________,20___.
________________________________________
Roomer
(Continued on Page 3)

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