Home Owner's Name Home Owner's Name First Last House Sitter's Name House Sitter's Name First Last Property Location What is the Address of the Property being House Sitted? Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Term of Agreement Start Date End Date Agreement Termination What will happen at the end of the Agreement? What will happen at the end of the Agreement? The House Sitter will be required to leave the HouseThe House Sitter will have the option to continue occupying the House Pet(s) Are Animals or Pets currently living at the Property being House Sitted? Are Animals or Pets currently living at the Property being House Sitted? YesNo Number of Pets Number of Pets Select12 1st Pet’s Name Breed or Type Pet Weight lbs. 2nd Pet’s Name 2nd Pet’s Breed/Type 2nd Pet’s Weight lbs. House Sitter Duties What Services or Duties shall be provided by the House Sitter? What Services or Duties shall be provided by the House Sitter? - Preserve and maintain the Owner’s house secure at any time- Preserve and maintain the gardens and/or backyard- Preserve and maintain the pool- Care for and preserve all furniture in the Owner’s house- Care of pet(s) shall include, but not be limited to, providing food, veterinary care (as needed), medication, cleanliness, and any other care as needed for proper everyday well-being of the pet(s).- Gather mail and/or correspondence- Other: Check All that Apply. Specify: Compensation Will there be a Payment to the House Sitter other than the rent-free occupancy in exchange for the House Sitting Services? Will there be a Payment to the House Sitter other than the rent-free occupancy in exchange for the House Sitting Services? YesNo What is the Compensation Amount? $ Utilities The Home Owner shall be responsible for the following utilities: The Home Owner shall be responsible for the following utilities: - Gas- Electricity- Water- Cable TV- Other: Any other utilities or services not mentioned will be the responsibility of the House Sitter. Specify: Emergency Contact In the event of an emergency the House Sitter shall contact the Home Owner at ___________________ Signature I am the ___________________ I am the ___________________ Home OwnerHouse SitterBoth (Home Owner and House Sitter) Would you like to Electronically Sign this Agreement? Would you like to Electronically Sign this Agreement? YesNo Home Owner's Signature Clear Please draw your signature. Print Name House Sitter's Signature Clear Please draw your signature. Home Owner's Signature Clear Please draw your signature. Print Name House Sitter's Signature Clear Please draw your signature. Print Name Signature Date Do you know the Day this Agreement will be Signed? Do you know the Day this Agreement will be Signed? YesNo Signature Date Next Save Save and finish later
