ROOMMATE RELEASE FORM

Current Date: [DATE]
Lease Date: [DATE]
Rental Property Address: [ADDRESS]
Roommate Leaving: [ROOMMATE NAME]
Roommate(s) Remaining: [ROOMMATE NAME(S)]

I/We hereby release the above-named roommate leaving from all lease responsibility as of [DATE]. In doing so, I/We:

• Assume all financial responsibility for the rental property.
• Assume responsibility for the security deposit.
• Understand that the landlord will not reimburse the roommate leaving for any amount of the security deposit and that it is between the roommates to settle who may owe whom.
• Assume responsibility for any damage to the apartment, past, present, or future, whether the damage was caused by the above-mentioned roommate being released, a future roommate, or the roommates remaining on the property.

Signature of Roommate Remaining: ____________________________ Date: _____________
Print Name: ____________________________

Signature of Roommate Remaining: ____________________________ Date: _____________
Print Name: ____________________________

I hereby notify the landlord of my intent to vacate the rental property on [DATE]. I understand that I am being released from my obligations under the lease and that I am releasing the landlord of any obligations to me. I realize that the landlord will not reimburse me for any amount of the security deposit I may have paid. I understand that it is up to my roommate(s) and me to settle that matter. I further understand that my lease responsibility does not expire until all parties have fully executed this release.

Signature of Roommate Leaving: ____________________________ Date: _____________
Print Name: ____________________________

The landlord consents to the release of the named roommate from the obligations under the aforementioned lease per the terms set forth herein by the residents to that agreement.

Landlord Signature: ____________________________ Date: _____________
Print Name: ____________________________