Roommate Agreement Form Page 2
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3d.
Phone ( if group phone):
Name on bill: __________________________
Roommate Name
% responsible for
e.
Cable:
Name on bill: __________________________
Roommate Name
% responsible for
f.
Internet:
Name on bill: __________________________
Roommate Name
% responsible for
All roommates understand that they may take legal action against one another for non-payment of their share of the rent, utilities or other
relevant expenses. All payments will be due to appropriate roommate before bill due date. All late fees/fines shall be assessed to the non-
paying/late-paying roommate.
EARLY TERMINATION OF LEASE
If any tenants wish to be released from the lease:
1.
They must give _____ days’ notice to the other roommates.
2.
(check one) □ The roommate leaving / □ The roommate(s) staying shall be responsible for finding a replacement roommate
3.
(check one) □ The roommate leaving / □ The roommate(s) staying shall be responsible for all rent, utilities and other charges until
a replacement is found.
4.
When a replacement is found the remaining roommates must approve or disapprove of the potential roommate within ___ days
and any refusal to accept a new roommate must be reasonable.
5.
All outstanding debts will be settled before the roommate leaves.
DOMESTIC RESPONSIBILITIES
1.
Each roommate shall be responsible for his/her own food, cooking, and laundry.
2.
All roommates shall pay a fair and equal portion for shared items for the apartment.
3.
Each roommate will be responsible for his/her own cleaning.
4.
The common areas are to be kept clean through a joint effort.
Exceptions and additions to the above are noted below and initialed by all roommates:
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
PETS AND ANIMALS
The following pets will be living in the apartment:
Pet
Roommate Responsible for Pet
If a roommate wishes to acquire a pet, they (check one) □ must / □ needn’t gain the approval of all other roommates before bringing the
pet into the residence.
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