ROOMMATE CHORE & UTILITY COST-SHARING AGREEMENT
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Effective Date: ________________________________________________________
Place: _________________________________________________________________

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1. Parties to the Agreement
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This Agreement is entered into on ____________________ (____________________) by and between:

First Roommate
Individual
Full Legal Name: _______________________________________________________
SSN / ID: ______________________________________________________________
Doc Series: ____________________________________________________________
Address: _______________________________________________________________
         _______________________________________________________________

Second Roommate
Individual
Full Legal Name: _______________________________________________________
SSN / ID: ______________________________________________________________
Doc Series: ____________________________________________________________
Address: _______________________________________________________________
         _______________________________________________________________

2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS
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Shared Home Address: ___________________________________________________
Shared Costs Covered: __________________________________________________
How Costs Are Split: ___________________________________________________
Payment Due Date & Method: _____________________________________________
Chores & House Rules: __________________________________________________

3. EXECUTION & SIGNATURES
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First Roommate

Signature: _____________________________________________________________

Full Legal Name: _______________________________________________________
Date: __________________________________________________________________

Second Roommate

Signature: _____________________________________________________________

Full Legal Name: _______________________________________________________
Date: __________________________________________________________________