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Roommate Agreement

(Addendum to the Rental Agreement)

Dated:

This agreement amends, is incorporated into, and forms a part of the Rental Agreement dated [Date], between [Name], Owners and [Name], tenants.

Tenants, also known here as "Roommates" desire to rent the premises on a "roommate arrangement." Owners agree to this arrangement under the following terms and conditions:

ROOMMATE APPROVAL AND SUBSTITUTION--Every person who wishes to become a Roommate under this agreement, whether as an original Roommate or as a substituted Roommate, must first submit a Rental Application and be approved by the Owners in writing.

Owners, at their option, may require substituted Roommates to sign the existing Rental Agreement or may require an entirely new agreement to be signed by the substituted Roommates and the remaining Roommates. Upon substitution of Roommates, Owners may elect to increase the deposit.

FINANCIAL RESPONSIBILITY--Each Roommate agrees to be jointly and severally liable to the Owners for the entire rent and the entire amount of any other charges incurred under the Rental Agreement.

DEPOSITS--Roommates agree to pay deposits to the Owners in the form of a single certified check or money order. The Owners will hold all deposits until the entire dwelling has been vacated completely. Owners may make deposit refunds in the form of a single check made payable jointly to all Roommates with rights to the deposits. This check and the itemized accounting of deposit deductions may be sent to any one of the Roommates with rights to the deposits.

DEPARTING ROOMMATES--Roommates who move out while this Agreement is in effect continue to have financial responsibility under this Agreement unless the Owners release them from this responsibility in writing or unless they are replaced by substituted Roommates approved by the Owners. Upon being relieved of financial liability, departing Roommates relinquish all rights to the deposits.

MAXIMUM NUMBER OF ROOMMATES ALLOWED--Without the prior written approval of the Owners, Roommates may at no time exceed [--] in number.

GUESTS--Tenants may house any single guest for a maximum period of fourteen days every six months of for whatever period of time the law allows. Guests may at no time exceed [--] in number.

COMMUNICATIONS--Whenever the Owners give a notice to one Roommate, it shall be considered as having been communicated to all Roommates. Whenever one Roommate gives a notice to the Owners, it shall be considered as having been communicated from all Roommates.

Signature

Owner

Signature

Roommate

Signature

Roommate

Signature

Roommate

Roommate

*** If Required By State Law ***

This Section for Notary:

Acknowledgment

STATE OF -------)

) ss: [date]

COUNTY OF ------)

On [Date] before me, [Name of Notary], notary, personally appeared [Name of Person(s) Involved], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

Witness my hand and official seal.

[signature]

[Name of Notary Public]

My commission expires: [date]

(Seal)