Roommate Contract Form
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1
2Roommate Contract
We have signed a lease at
on
.
(Address)
(Date)
All roommates will share the responsibilities of renting as outlined below. It is for this reason that we are signing this
agreement.
I. Roommates
The roommates of the above rental unit are:
1)
2)
3)
II. Terms
This agreement is to begin on _______________ for a term lasting from _____________ to _____________.
I fully understand and accept the rules and responsibilities of this agreement.
III. Security Deposit
The security deposit for the rental dwelling is a total of $
.
Roommate #1
will pay $
.
Roommate #2
will pay $
.
Roommate #3
will pay $
.
Each roommate is responsible for charges associated with the damages he/she or his/her guests cause. All other
charges will be split amongst all roommates. The amounts will be paid back upon return of the security deposit
after we move out.
IV. Rent
Total rent amount for the rental dwelling is $__________________________________________.
Roommate #1
will pay $
.
Roommate #2
will pay $
.
Roommate #3
will pay $
.
The rent payment is due on the ______ of each month.
If rent is not paid by the date posted, there will be a fee of $
(according to lease).
The rent payment includes the following utilities
V. Utilities (Check and complete appropriate statements)
Utilities not covered by rent:
All persons will share equally in the payment of utilities.
All roommates will agree to pay the person designated below (bill payer) on or before the date specified.
Gas/Electricity Bill will be paid by (name):
Amount to be Paid:
Date bill will be paid:
Date $ is due to bill payer:
Water/Sewer
Bill will be paid by (name):
Amount to be Paid:
Date bill will be paid:
Date $ is due to bill payer:
Other
Explain:
(Cable, Internet, Etc.) Bill will be paid by (name):
Amount to be Paid:
Date bill will be paid:
Date $ is due to bill payer:
VI. Amenities (Check and complete appropriate statements)
Amenities not covered by rent:
All persons will share equally in the payment of utilities.
All roommates will agree to pay person designated below (bill payer) on the date specified by all.
Internet
Bill will be paid by (name):
Date bill will be paid:
Date $ is due to bill payer:
Cable
Bill will be paid by (name):
Date bill will be paid:
Date $ is due to bill payer:
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