Roommate Agreement Form

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Roommate Agreement Form
This agreement is made by and among the roommates named herein who have signed a lease for a shared dwelling unit that makes
roommates jointly and severally liable for all terms of the contract.
Execution of this roommate agreement does not alter the joint and several liabilities of the tenants under the rental contract with the
landlord. This agreement is intended to describe basic duties, responsibilities, and expectations of the occupants as well as to outline rules,
regulations, and policies. In the event of a dispute, the roommates agree that this agreement acts as the Supreme Law of the Household.
Any alteration to the agreement should be noted in writing, attached to this agreement, signed, and dated by all roommates in order to be
effective.
____________________________________________________________ (Roommate 1)
____________________________________________________________ (Roommate 2)
____________________________________________________________ (Roommate 3)
____________________________________________________________ (Roommate 4)
Address: ________________________________________________________________________
Term of lease: ______________ to ______________
PAYMENT OF RENT (for group leases only)
1.
All roommates acknowledge that the rent on the property is $______ per month, and each shall pay an agreed sum of $______
due and payable on the _____ day of each month or according to the grace period stated in the lease.
2.
The full amount of the rent shall be paid to the landlord when due.
3.
The roommate(s) responsible for any late payment(s) shall be responsible for all accumulated late fees and all costs associated with
a default or any other legal action.
SECURITY DEPOSIT
A security deposit has been paid by each roommate in the amount of $____. The roommates shall divide the refund of the security deposit
according to the amount originally paid by each tenant. When a specific roommate is clearly responsible for fees and damage to the premise
– including late fees, repairs, and cleaning costs – that roommate will pay full fees and damages. The roommates agree to share equally in
the cost of all other fees and damages charged.
PAYMENT OF UTILITIES
1.
All roommates agree that they are each responsible, in addition to the rent, for the following portion of the shared utilities.
2.
All bills are payable when due. If late, fees will be assessed to delinquent roommate(s).
3.
Each is responsible for their independent long-distance bills, and those of their guests, and any special cable bills.
4.
The division of responsibilities toward the utilities shall be divided in the following manner:
a.
Electric:
Name on bill: __________________________
b.
Roommate Name
% responsible for
Gas:
Name on bill: __________________________
Roommate Name
% responsible for
c.
Water:
Name on bill: __________________________
Roommate Name
% responsible for

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