Room in Home Rental Agreement - Housing & Residential Services

UCSB COMMUNITY HOUSING OFFICEUniversity Center, Santa Barbara, CA 93106-7160E-Mail: ucsbcho@housing.ucsb.edu v www.housing.ucsb.eduPhone: 805-893-4371ON-LINE LISTINGS v EDUCATION v DISPUTE RESOLUTION v RENTAL SUCCESS GUIDERENTAL AGREEMENT FOR A ROOM IN A PRIVATE HOMEThis Agreement is between_____________________________________________________(Property Provider) and___________________________________________________________________________________(Tenant)for the rental of a room located at _____________________________________________________________.The monthly rent is $_____________, payable on the _______________ day of every month.A security deposit of $______________, including Last Month’s Rent ( Yes No ), paid on __________________(date), shall be refunded by Property Provider within 21 days following Tenant’s move-out, less any appropriate andreasonable charges for cleaning and/or for damages caused by Tenant and/or Tenant’s guests.With 30 days written notice to Tenant, Property Provider may raise the rent, alter the terms of the agreement, orterminate the tenancy; 60 days written notice will be given to terminate the tenancy if Tenant has resided on thepremises for at least one (1) year. Conversely, the Tenant MUST give Property Provider 30 days written notice ofintent to quit the premises.Property Provider agrees to provide the following:r Electricity r Gas r DSL/Internet Servicer Trash Removal r Water r Other _______________________r Cable TV r Gardener r Other _______________________Property Provider and Tenant agree to honor the following House Rules and any additional written Rulesattached:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Room Maintenance and Privacy: Tenant shall maintain room in a safe, clean and sanitary condition. Other than inemergency situations, Property Provider may enter room to initiate repairs only after giving Tenant 24-hour advancewritten notice.In case of emergency, Tenant authorizes Property Provider to contact:Name/Relationship:_________________________________________ Phone:___________________________Name/Relationship:_________________________________________ Phone:___________________________Sample FormUCSB Community Housing Office / www.housing.ucsb.edu 43

RENTAL AGREEMENT FOR ROOM IN A PRIVATE HOME, page 2By initialing as provided, Tenant acknowledges the receipt of the following documents (copies of which areattached hereto) and are incorporated herein by reference:______ House Rules______ Inventory & Condition Report______ Repair / Replacement Agreement______ Maintenance Request Form______ Other: ___________________________ Megan’s Law______ Furniture Inventory & Condition Report______ Lead Paint Disclosure______ Inventory of Personal Property______ Other: ______________________The undersigned have read the foregoing Lease prior to execution & acknowledge receipt of a copy.Dated this ____ day of ________________, of the year __________Tenant(s) Signature(s):_________________________________________________________________1st Tenant_________________________________________________________________2nd Tenant_________________________________________________________________3rd Tenant____________________Date____________________Date____________________DateProperty Provider’s Signature:_________________________________________________________________Full Name____________________DateSample Form44 UCSB Community Housing Office / www.housing.ucsb.edu