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:
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:
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Final meter/billing date: [Date]
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Departing roommate share: $[Amount] (estimate)
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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:
8.2 Release Terms: After it becomes effective, each roommate releases the other from claims arising out of the roommate arrangement, except for:
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obligations stated in this Agreement
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unpaid amounts discovered later that relate to the covered period (if documented)
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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: ___________________________