**Please note that this Agreement does not supersede the lease or any other agreement that tenants may have with
the landlord. The landlord is not bound by this Agreement and is not obligated to enforce its terms**
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2. RENT: Under the terms of the lease agreement, the total rental amount due each
month to the landlord is $________________ [monthly rental amount due for each
roommate].
Each roommate shall pay the following amount:
________________________________ $_____________
[tenant name] [amount]
________________________________ $_____________
[tenant name] [amount]
________________________________ $_____________
[tenant name] [amount]
Rent must be paid in the form of _________________ (indicate form, e.g.,
“cash/check/cashier’s check) to ______________________ [ex: “landlord” or name of
roommate]. The rent is due on the _________ (e.g., “first”) day of each month.
3. HOUSEHOLD SUPPLIES: A single ledger (with item description, cost, and date of
purchase) will be kept listing all household supplies purchased by each roommate. The
supplies may include such things as paper towels, toilet paper, cleaning fluids, dish
detergent, foil, plastic trash bags, scrub brushes, and any other goods needed for the
home which will be shared by all roommates. The purchaser of household supplies will
be entitled to reimbursement from the other roommates.
4. KITCHEN USE AND CLEAN-UP: (check one)
☐ - Food expenses will be shared equally by all roommates.
☐ - Food will be purchased by each roommate individually.
Food may not be borrowed without the purchaser’s approval. Each roommate will have
________________ [“separate” if available] storage space for his/her groceries.
Roommates may choose to share in meal preparation and clean up. Each roommate
will clean up the kitchen after his/her use.
5. PERSONAL PROPERTY: All roommates agree to not use or borrow other
roommates’ personal item(s) without the approval of the roommate who owns the
property. Any exception(s) to this rule will be clearly stated and agreed upon, and the
roommate who owns the property retains the right to change his/her mind about sharing
his/her property. Any personal property that is borrowed will be used respectfully and
returned in the same condition. If any damage is done to a roommate’s personal
property, the roommate(s) responsible for causing the damage will compensate the
roommate who owns the personal property for his/her loss.