Roommate Release Agreement

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ROOMMATE RELEASE AGREEMENT
Date:_________________
Apt #:________________
Resident Names: ___________________________
__________________________________
___________________________
__________________________________
I _________________________ am moving out of Apartment #_______________
Effective___________________. I hereby relinquish all claims to the above apartment and wish
to have my name removed from the lease agreement. I do understand that all remaining
roommates must agree to this action. This Release will not be effective until I have returned all
keys to the apartment to the leasing staff and agree to relinquish all deposits that may be
refunded in the future.
______________________________________
____________________________________
Resident Name
Resident Signature
I/We agree to release ___________________________ from the lease agreement for
apartment#_______________ effective _____________________________________________.
I/We also agree to release the above roommate from any responsibility for any damages that
may be in our apartment.
_______________________________________
__________________________________
Resident Name (print)
Resident Signature
_______________________________________
__________________________________
Resident Name (print)
Resident Signature
_______________________________________
__________________________________
Resident Name (print)
Resident Signature
_______________________________________
__________________________________
Resident Name (print)
Resident Signature
____________________________________________
__________________________
Authorized Agent Signature
Date
*Form must be filled out in leasing office, and signed by residents in front of an authorized
Homestead U Agent

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