The following form is intended for illustrative purposes only. You and your attorney can use this sample as a guide in drafting a cohabitation agreement that best protects your interests and complies with the laws in effect where you live.
________________________________________, Cohabitant No. 1, and ____________________________________, Cohabitant No. 2, hereinafter jointly referred to as the Cohabitants, who now live /will live together in the future (circle one) at __________________________, in the city of __________________, county of ________________, state of ______________, hereby agree on this _____ day of ______________, in the year ______, as follows:
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Monthly Expenses | Cohabitant No. 1 | Cohabitant No. 2 | |
Rent or Mortgage | $_______________ | $_______________ | |
Utilities: | |||
Telephone | $_______________ | $_______________ | |
Gas | $_______________ | $_______________ | |
Electricity | $_______________ | $_______________ | |
Water & Sewer | $_______________ | $________________ | |
; | Garbage Collection | $_______________ | $_______________ |
Cable Television | $_______________ | $_______________ | |
Cellular Phone | $_______________ | $_______________ | |
Internet Service | $_______________ | $_______________ | |
Property Taxes | $_______________ | $_______________ | |
Insurance: | |||
Homeowners/Renters | $_______________ | $_______________ | |
Auto(s) | $_______________ | $_______________ | |
Recreational Vehicle | $_______________ | $_______________ | |
Debt Payments: | |||
Vehicle #1 | $_______________ | $_______________ | |
Vehicle #2 | $_______________ | $_______________ | |
Home Equity Loan | $_______________ | $_______________ | |
Other Loans | $_______________ | $_______________ | |
Credit Card #1 | $_______________ | $_______________ | |
Credit Card #2 | $_______________ | $_______________ | |
Credit Card #3 | $_______________ | $_______________ | |
Day Care | $_______________ | $_______________ | |
Transportation Expenses: | |||
Gasoline | $_______________ | $_______________ | |
Parking/Commuting | $_______________ | $_______________ | |
Vehicle Maintenance | $_______________ | $_______________ | |
Licenses | $_______________ | $_______________ | |
Food: | |||
Groceries | $_______________ | $_______________ | |
Take-out Food | $_______________ | $_______________ | |
Restaurants | $_______________ | $_______________ | |
School Lunches | $_______________ | $_______________ | |
Household Expenses: | |||
Cleaning Supplies | $_______________ | $_______________ | |
Cleaning Service | $_______________ | $_______________ | |
Yard Maintenance | $_______________ | $_______________ | |
Home Maintenance | $_______________ | $_______________ | |
Home Security | $_______________ | $_______________ | |
Home Improvements | $_______________ | $_______________ | |
Home Furnishings | $_______________ | $_______________ | |
Appliances | $_______________ | $_______________ | |
Personal Expenses: | |||
Entertainment | $_______________ | $_______________ | |
Travel | $_______________ | $_______________ | |
Gifts | $_______________ | $_______________ | |
Hobbies | $_______________ | $_______________ | |
Babysitting | $_______________ | $_______________ | |
Pet-care Costs | $_______________ | $_______________ | |
Donations | $_______________ | $_______________ | |
Other Expenses | $_______________ | $_______________ | |
$_______________ | $_______________ | ||
$_______________ | $_______________ | ||
$_______________ | $_______________ | ||
TOTAL EXPENSES: | $_______________ | $_______________ | |
I HAVE READ THE ABOVE AGREEMENT, I HAVE TAKEN TIME TO CONSIDER ITS IMPLICATIONS, I FULLY UNDERSTAND ITS CONTENTS, I AGREE TO ITS TERMS, AND I VOLUNTARILY SUBMIT TO ITS EXECUTION. |
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____________________________________ |
______________________________ |
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Witnessed by: | |||
____________________________________ |
______________________________ |
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[NOTARY PUBLIC MAY AFFIX STAMP HERE] |
Get Legal Help Drafting Your Cohabitation Agreement
Although a simple cohabitation agreement might be enough to protect your interests, anyone could benefit from some professional assistance. An attorney can help draft an agreement that conforms with local laws and addresses the potential liabilities that arise in cohabitation. Contact an experienced family law attorney for some peace of mind before you sign.