This Roommate Move-Out Agreement & Mutual Release (the “Agreement”) is made as of [Effective Date] by and between:
Roommate A: [Full Name], phone/email: [Contact] (“Roommate A”)
Roommate B: [Full Name], phone/email: [Contact] (“Roommate B”)
Home Address: [Full Address] (the “Home”).
1. Lease Status (Important)
1.1 Select One:
☐ Both roommates are on the lease. This Agreement does not change the lease and landlord approval may be required for any tenant changes.
☐ Only one roommate is on the lease (primary tenant): [Name].
☐ Neither roommate is on a formal lease (informal arrangement).
2. Move-Out Date and Surrender
2.1 Move-Out Date: Roommate [A/B] will move out and surrender possession of their room/space by [Move-Out Date].
2.2 Keys/Access: All keys, fobs, and access devices must be returned by [Date/Time].
2.3 Forwarding Address: Departing roommate will provide a forwarding address: [Address].
3. Rent and Prorations
3.1 Monthly Rent Total: $[Total Rent].
3.2 Rent Split: ☐ equal ☐ custom: [Details].
3.3 Rent Responsibility Through Move-Out:
Departing roommate pays rent through: [Date]
Remaining roommate pays rent starting: [Date]
3.4 Outstanding Rent (If Any): ☐ None ☐ $[Amount] due by [Date].
4. Utilities and Shared Bills
4.1 Utilities/bills covered: [Electricity, gas, water, internet, etc.].
4.2 Bills will be settled as follows:
-
Final meter/billing date: [Date]
-
Departing roommate share: $[Amount] (estimate)
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True-up method: ☐ split final bills when received ☐ departing roommate pays fixed amount $[__] by [Date]
Final meter/billing date: [Date]
Departing roommate share: $[Amount] (estimate)
True-up method: ☐ split final bills when received ☐ departing roommate pays fixed amount $[__] by [Date]
4.3 Any shared subscription accounts will be: ☐ canceled ☐ transferred to [Name] ☐ kept separate.
5. Security Deposit
5.1 Deposit Amount (If Any): $[Amount].
5.2 Deposit Held By: ☐ Landlord ☐ Roommate [A/B] ☐ Other: [Holder].
5.3 Deposit Settlement (Select One):
☐ Returned to departing roommate: $[Amount] by [Date], less agreed deductions
☐ Applied to rent/bills owed (details): [Explain]
☐ Handled by landlord at end of lease; roommates settle between themselves: [Explain]
5.4 Deductions (If Any): [List damages/unpaid bills/cleaning].
6. Cleaning, Condition, and Inspection
6.1 Departing roommate will leave their room and shared areas used in: ☐ broom-clean condition ☐ professionally cleaned ☐ other: [Standard].
6.2 Move-Out Walkthrough: ☐ Not required ☐ Scheduled for [Date/Time].
6.3 Damage: Departing roommate is responsible for damage caused by them or their guests beyond normal wear.
7. Personal Property and Shared Items
7.1 Items Departing Roommate Takes: [List].
7.2 Items Remaining in Home: [List].
7.3 Buyout (If Any): Remaining roommate will pay departing roommate $[Amount] for: [Items], by [Date].
7.4 Mail and Deliveries: Mail will be forwarded; packages after move-out will be handled by: [Rule].
8. Mutual Release (Conditional)
8.1 Effective After Completion: The mutual release becomes effective after:
the move-out has occurred,
keys are returned, and
all amounts in Sections 3–7 are paid.
8.2 Release Terms: After it becomes effective, each roommate releases the other from claims arising out of the roommate arrangement, except for:
-
obligations stated in this Agreement
-
unpaid amounts discovered later that relate to the covered period (if documented)
-
fraud or intentional misconduct
obligations stated in this Agreement
unpaid amounts discovered later that relate to the covered period (if documented)
fraud or intentional misconduct
9. General Terms
9.1 No Landlord Release: This Agreement does not release either roommate from lease obligations to the landlord, unless the landlord agrees in writing.
9.2 Changes: Changes must be in writing and signed by both roommates.
9.3 Governing Law (Optional): [State/Country].
Signatures
Roommate A: [Full Name]
Date: [Date]
Signature: ___________________________
Roommate B: [Full Name]
Date: [Date]
Signature: ___________________________