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Sample Cohabitation Agreement


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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:

  1. The Cohabitants wish to establish their respective rights and responsibilities regarding each other's income and property and the income and property that may be acquired, either separately or together, during the period of cohabitation.
  2. The Cohabitants have made a full and complete disclosure to each other of all of their financial assets and liabilities.
  3. Except as otherwise provided below, the Cohabitants waive the following rights:
    1. To share in each other's estates upon their death.
    2. To "palimony" or other forms of support or maintenance, both temporary and permanent.
    3. To share in the increase in value during the period of cohabitation of the separate property of the parties.
    4. To share in the pension, profit sharing, or other retirement accounts of the other.
    5. To the division of the separate property of the parties, whether currently held or hereafter acquired.
    6. To any other claims based on the period of cohabitation of the parties.
    7. To claim the existence of a common-law marriage.
  4. [SET FORTH RELEVANT EXCEPTIONS HERE. For instance, if both cohabitants are contributing to the debt repayment on the home owned by one party, they may agree that any increase in equity during the period of cohabitation will be fairly divided between them.]
  5. The Cohabitants agree to divide the household expenses as follows:
    Monthly ExpensesCohabitant No. 1Cohabitant 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$_______________$_______________
        $_______________ $_______________
        $_______________ $_______________
        $_______________ $_______________
    TOTAL EXPENSES:$_______________$_______________
 
  1. [ADDITIONAL PROVISIONS HERE. These can cover just about any issue, from custody of pets to allocating household chores. The legal obligation to pay child support to any children of the Cohabitants cannot, however, be modified by agreement of the parties.]
  2. Each Cohabitant is represented by separate and independent legal counsel of his or her own choosing.
  3. The Cohabitants have separate income and assets to independently provide for their own respective financial needs.
  4. This agreement constitutes the entire agreement of the parties and may be modified only in a writing executed by both Cohabitants.
  5. In the event it is determined that a provision of this agreement is invalid because it is contrary to applicable law, that provision is deemed separable from the rest of the agreement, such that the remainder of the agreement remains valid and enforceable.
  6. This agreement is made in accordance with the laws of the state of _________________, and any dispute regarding its enforcement will be resolved by reference to the laws of that state.
  7. This agreement will become null and void upon the legal marriage of the Cohabitants.

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.

____________________________________
Cohabitant No. 1
______________________________
Cohabitant No. 2
Witnessed by:
____________________________________
(Witness or counsel signature)
______________________________
(Witness or counsel signature)
[NOTARY PUBLIC MAY AFFIX STAMP HERE]

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