Fill and Sign the Without Paying Rent Form

Release and Waiver of Liability Given in Favor of Homeowner Allowing Tenant to Stay at Residence without Paying Rent (including Assumption of all Risks of Bodily Injury) Agreement made on the _____________________________ (date) , between _______________________________________ (Name of Tenant) of _____________________ ______________________________________________________________________________ (street address, city, county, state, zip code) , referred to herein as Tenant , and ________________________________________________________ (Names of Homeowners) of ___________________________________________________________________________ __________________ (street address, city, county, state, zip code), jointly and severally referred to herein as Homeowner . Whereas, Homeowner allows Tenant to stay at the home of Homeowner at ___________ ________________________________________________ (street address, city, state, zip code) , rent free; and Whereas, Homeowner is requiring Tenant to execute this Release and Waiver before allowing Tenant to continue such rent free arrangement; Now, therefore, for and in consideration of allowing Tenant to continue to live at the home of Homeowner rent free, the undersigned Tenant hereby releases Homeowner , its employees, officers, directors, successors, and assigns (collectively Releasees) from all liability to Tenant for any loss or damage to property, physical injury or death whether caused by Releasees or otherwise that result, directly or indirectly from Tenant’s staying and or living at such residence. Tenant further agrees to indemnify, save and hold Releasees harmless from any loss, liability, attorneys’ fees, damage, or costs that they (or any of them) may incur arising out of or related to Tenant’s staying and/or living at Homeowner’s said home whether caused by the negligence of the Releasees or otherwise, and Tenant does hereby assume the risk of any such loss or damage. Any dispute under this agreement shall be required to be resolved by binding arbitration of the parties hereto. If the parties cannot agree on an arbitrator, each party shall select one arbitrator and both arbitrators shall then select a third. The third arbitrator so selected shall arbitrate said dispute. The arbitration shall be governed by the rules of the American Arbitration Association then in force and effect. WITNESS my signature this the _______________________________________ (date) . __________________________________ __________________________________ (Printed Name & Signature of Tenant)