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Legacy Living Homes

Move-In Paperwork

License Agreement & House Rules

Initial each section, sign on screen, and a PDF copy is saved to your device. Fields marked with a red * are required.

This agreement is submitted securely to our office. Legacy Living Homes follows Fair Housing Act guidelines — see our HUD Guidelines page.

Every initials box, the house rules checkbox, and your signature must be completed before you can submit.

Licensee Details

Leave blank if not assigned yet

Enter N/A if you pay monthly

A non-refundable move-in fee of $300 applies in addition to the rate entered above.

1. Participant Agreement

I understand that THIS AGREEMENT IS NOT A LEASE.

I understand that Legacy Living Homes provides and pays for utilities, furnishings, cleaning services and controls all keys to the premises and individual rooms.

I understand that if I violate any rules of the license agreement, I may be considered a criminal trespasser and subject to arrest under State Penal Code, “Trespassing”.

I have read and understand the house rules provided to me (see Addendum VIII below).

I understand that Legacy Living Homes is NOT an assisted living facility or a nursing home, and that Legacy Living Homes, the landlord and the property manager DO NOT provide assistance with activities of daily living, medicine management, bathing, brushing, shaving, cutting food, toileting, transportation, supervision outside of the residence, incontinence care, dressing, movement or other daily activities. Outsourced third parties may stop by and provide these services to the licensee if the licensee has a relationship with that third party; however, under no circumstances does Legacy Living Homes provide these services directly.

I understand that any damages (other than normal wear) will be my financial responsibility.

I understand that the sober living home operator will have a lien for unpaid fees against all of the licensee's nonexempt personal property that is in the property, and may seize such nonexempt property if the licensee fails to pay. The Property Code governs the rights and obligations of the parties regarding Legacy Living Homes's lien. Legacy Living Homes may collect a charge for packing, removing, or storing property seized in addition to any other amounts it is entitled to receive, and may sell or dispose of any seized property in accordance with the provisions of the Property Code.

Any person who is a prevailing party in any legal proceeding brought under or related to the transaction described in this license agreement is entitled to recover a maximum of $500 attorney's fees from the non-prevailing party.

2. Fees

The licensee, the licensee's representative and/or the licensee's legal representative agree that the resident (or other specified party) will pay the basic rate as of the date of this agreement, which is the monthly or daily rate entered above, plus a non-refundable move-in fee of $300.

Payment is due on the 1st through the 4th of each month, depending on the date the licensee receives their income.

3. Pest Control and Infestation

Bed bug addendum AND other infestation: This addendum addresses situations related to bed bugs and other infestations (roaches, gnats, etc.) which may be discovered infesting the dwelling or personal property in the dwelling. You (licensee) understand that we relied on your representations to us in this addendum.

INSPECTION. You agree that you have inspected the dwelling prior to move-in and that you did not observe any evidence of bed bugs, roaches, or other infestation.

INFESTATIONS. Prior to move-in, the licensee certifies that they have examined the property for bed bugs, rodents, and other bug infestations and did not observe any evidence of infestation. Therefore, in signing this addendum, the licensee certifies that if bed bugs or other bug infestations are later found in this unit, they will be deemed to have been introduced by the licensee or one of the licensee's guests, and that THE LICENSEE WILL BE RESPONSIBLE FOR THE PEST TREATMENT, including all reasonable costs of cleaning and pest control treatments. If we must move other residents in order to treat adjoining or neighboring dwellings, you will be liable for payment of any lost income and other expenses incurred by us to relocate the residents. If you fail to pay us for any costs you are liable for, you will be in default, and we will have the right to terminate your right of occupancy and exercise all rights and remedies under the license agreement. You will be held directly liable and will deal directly with city officials, including but not limited to Section 8 inspectors, code compliance inspectors, police and probation officers, and any other party that deems the unit unclean and infested, and will hold Legacy Living Homes and the property manager harmless for bed bug, roach, or other pest infestations.

COOPERATION. If we confirm the presence or infestation of bed bugs, other bugs or rodents, you must cooperate and coordinate with our pest control agents and us AT YOUR EXPENSE. You must follow all directions from us or our agents to clean and treat the dwelling that is infested. You must remove or destroy personal property that cannot be treated or cleaned as close as possible to the time the dwelling is treated. We have the right to require you to temporarily vacate the dwelling and remove all furniture, clothing, and personal belongings in order for us to perform pest control AT YOUR EXPENSE. If you fail to cooperate with us, you will be in default, and we will have the right to terminate your right of occupancy and exercise all rights and remedies under the license agreement. YOU ALSO AGREE TO ALLOW US TO EXTERMINATE THESE PESTS IMMEDIATELY UPON DETERMINATION THAT INFESTATION HAS OCCURRED AND THAT YOU WILL REIMBURSE US FOR THIS EXTERMINATION.

Initial here to certify the above paragraphs regarding pest control and infestation.

4. Responsibilities of Licensee and Property Maintenance

You, your representative and/or your legal representative, to the extent specified in this agreement, are responsible for: payment of the monthly fees; and supply of personal clothing, activities of daily living, medicine, medication management, and other normal day-to-day items and tasks, including but not limited to doctor visits, transportation, case management, and social worker appointment meetings and scheduling.

Licensee's general responsibilities: at the licensee's expense, the licensee must keep the property clean and sanitary; promptly dispose of all garbage in appropriate receptacles; take action to promptly eliminate any dangerous condition on the property and/or room; certify that they will perform all activities of daily living without the help or assistance of any Legacy Living Homes representative, such as showering, taking medications, shaving, cutting and preparing food, toileting, transportation, dressing and any other activity performed on a daily basis; and certify that they have inspected their room and that the room is clean and well-maintained.

Initial here to certify the above paragraphs regarding responsibilities and property maintenance.

5. Indemnification and Waivers

I agree and acknowledge that I am under no pressure or duress to sign this Agreement and that I have been given a reasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review this Agreement if I so desire.

Each party hereby agrees to indemnify the other and the other's employees, officers, directors, agents, family members and other related parties against all damages for bodily injury, including death, or damage to real or tangible personal property to the extent proximately caused in the course of performing this Agreement.

It is my intention, and I understand that I am binding myself, my heirs, agents, relatives, executors, administrators, assigns and successors in interest, and understanding this, I hereby expressly release and discharge Legacy Living Homes, its agents, owners, landlords, directors, executives, successors, administrators, assigns, affiliates and agents from any claims created or arising out of, or in any way related to, the service or housing space provided. I hereby waive any claim for damages to persons or property which may occur as the result of the use of the said premises. This waiver includes any negligent acts or omissions caused directly or indirectly by Legacy Living Homes Cooperative Living or the owners of said property, including its officers, directors, or employees, and I understand that my claims which may in the future arise out of personal injuries, accident, death, hurricanes, tornadoes, rain, fire or other acts of God to the residence, myself, or damage to my property of any kind, are hereby waived.

I, and any and all family, relatives, attorneys, assignees and any others acting on my behalf, hereby further agree to indemnify and hold harmless Legacy Living Homes Cooperative Living, its owners, representatives, agents or the owners of said property, including its officers, directors, or employees, from any claims or damages which may occur to the undersigned licensee or to any child, invitee, or guest of the undersigned.

It is understood and agreed that this agreement includes, but is not limited to, injuries occurring due to: slipping and falling on any surfaces wet or dry; transportation to and from the premises or any other location; fires; sprained or broken limbs; cuts; abrasions; eye injuries; bacterial infections; death; fights; drowning; riots; stabbings; tornadoes; hurricanes; floods; hail storms; acts of terrorism; and any other acts of God, accidents or injuries on or off the property.

Licensee assumes all risk of harm resulting from the use of any pools, trampolines, or recreational facilities on Legacy Living Homes property, and waives all claims against Legacy Living Homes arising from or relating to the use of said facilities or participation in such activities and programs by the licensee and his or her guests, even if caused by Legacy Living Homes's negligence or gross negligence.

Under no circumstances are drugs, alcohol or other non-prescribed medication allowed in the property. I understand that if I am found to be using or in possession of any of the above items, I will immediately be in violation of this agreement and will be asked to vacate the unit immediately.

6. House Rules Addendum

Break these rules and your stay will be terminated. You have 3 warnings ONLY.

Rules shown in red mean immediate removal from the home.

Safety

  • • No loitering or hanging out in the front yard for any reason. The back patio is used for this.
  • • Keep entry and exit doors closed and locked at all times.
  • • No weapons, drugs, or paraphernalia of any kind.
  • • Do not leave items on the floor that may cause a slipping or trip hazard.
  • • If you spill anything on the floor, immediately wipe it up and place a wet floor sign.
  • • In case of an emergency, all residents must sign in and out of the home when leaving the property.

General

  • • Do not steal or use another person's items without permission.
  • • Do not open or enter any cabinets or closets with locks.
  • • Turn lights off when not in use.
  • • You may NOT enter another resident's room at any time.
  • • Keep your room door closed at all times.
  • • Clothes must be worn outside of your room.
  • • Never leave personal items unattended in common areas of the home.
  • • Kitchen closes at 8 PM.
  • • Residents can enter the home during these hours ONLY: 6 AM–11 PM Sunday–Thursday (TV off at 12 AM); 6 AM–12 AM Friday and Saturday (TV off at 12 AM).
  • • 24-hour prior written notice must be given for any and all exceptions.
  • • If you are diabetic or need to give yourself shots using a syringe, you must have a medical-grade bin to dispose of used needles properly.

Smoking, Alcohol, and Drugs

  • • Smoking on the backyard patio ONLY.
  • • No alcohol consumption or storage of alcohol in or around the premises.
  • • Do not share medication.
  • • No storage or use of illegal drugs or unprescribed medication allowed.
  • • Everyone is subject to random UA.

Cleanliness

  • • Put trash in the trash can, put dirty dishes in the sink, and clean up after you use the bathroom.
  • • Your room shall be kept in an orderly and sanitary condition at ALL times. Food is only to be consumed in the kitchen.
  • • Food is NOT ALLOWED in bedrooms at any time.
  • • If you spill anything or make a mess anywhere in the house, including your room, you are responsible for cleaning it up.

Your Room

  • • You may NOT enter another resident's room at any time.
  • • Mattress covers must NEVER be removed.
  • • Keep your room door closed at all times.
  • • Keep personal items inside of your room. Valuable items should be secured.
  • • All rooms are subject to search by Legacy Living Homes staff.

Personal Hygiene

  • • Dispose of diapers, bed pads, and other personal hygiene items properly.
  • • You shall maintain personal hygiene by bathing and brushing your teeth frequently.
  • • You shall have no complaints that you or your personal space has offensive odors.

Behavior

  • • No aggressive or violent behavior EVER!
  • • No profanity or offensive language directed at any residents, neighbors, or Legacy Living Homes staff or helpers.
  • • No lending or borrowing money, cars, or other property from other residents or neighbors.
  • • All residents must attend outpatient treatment.
  • • No romantic advances toward Legacy Living Homes staff.

Laundry

  • • Use of laundry on your scheduled day and time ONLY.
  • • The laundry area must be kept clean.
  • • You may not wash another person's clothes.
  • • You may not put feces-soiled items into any washer or dryer in the home.
7. Agreement Authorization

I have read this License Agreement and the House Rules and agree to abide by the terms and conditions.

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