Fillable Uva'S Roommate Agreement Service Form (Page 2 of 5) in pdf

Attach copy of lease or rental agreement and landlord’s house rules.

Roommate Agreement

Each roommate should receive a copy of this agreement. Original will be kept by ____________________.

We have signed a lease/rental agreement for ______________________________________ (address) on ___________ (date).

We hope to make certain that responsibilities of renting will be shared equally by all roommates. It is for this reason that we are

signing this agreement.

ROOMMATES

The roommates of the above address are (please print clearly):

______________________________________________ ______________________________________________

I understand that I am entering into a legally binding agreement with my roommates. I understand that we as a group

and I as an individual are responsible to our landlord, the utility companies, and each other.

TERMS

This agreement is to begin on _______________ for a term lasting from _______________ to _______________.

The roommates listed above fully understand and accept the rules and responsibilities of this agreement.

A departing roommate will be responsible for upholding the lease agreement and this roommate agreement until, and possibility

after a replacement roommate or subtenant is found. The remaining roommates are under no obligation to find or accept a

replacement tenant. The departing roommate will remain liable for his/her share of the rent, utilities and other obligations under

the lease unless the landlord and the remaining roommates agree to relieve him/her from these obligations. Decision to do so

should be accomplished by a written agreement signed by the landlord and all roommates, including the departing roommate.

The agreement should set forth the rights and obligations of the departing roommate after termination (including how the deposit

issues will be addressed), and the obligations and rights of any replacement roommate.

In the alternative, the roommates may agree to sublease to a subtenant with the landlord’s written consent. The departing

roommate shall remain liable under the lease if the subtenant fails to perform his obligations.

DEPOSIT

The roommate(s) have paid a total security deposit of $______________. List amount each roommate has paid:

______________________________________________________________________________________________________

q At the conclusion of the lease, the deposit will be divided evenly. OR  

q At the conclusion of the lease, roommates will bear the full cost of any deduction from the deposit for cleanup costs

attributable to him/her individually. Remaining balance of security deposit, not attributed to one individual roommate, will be

divided evenly.

If an original roommate has left the original lease, a written agreement signed by all roommates, including the departing

roommate, will modify the distribution of the deposit as specified by the roommates at that time.

ALLOCATION OF ROOMS/INDIVIDUAL RENT

There are ____ bedrooms in the premises. The following tenants will share bedroom(s):

_________________________________ will live in __________________________, $_________each;

(names)

(room according to floor plan)

(Rent)

_________________________________ will live in __________________________, $_________each;

(names)

(room according to floor plan)

(Rent)

_________________________________ will live in __________________________, $_________each;

(names)

(room according to floor plan)

(Rent)

_________________________________ will live in __________________________, $_________each;

(names)

(room according to floor plan)

(Rent)

Uva'S Roommate Agreement Service Form Page 2

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