Proof of Residency Letter (Affidavit of Residency)

Who is WRITING this Letter?

I am

the Person claiming residencySomeone Else (e.g. employer, family member, landlord, etc.)

Which BEST DESCRIBES who is writing this letter?

EmployerFamily MemberLandlordOther

Employer's Name

Title (optional)

Company / Organization Name (optional)

Family Member's Name

Relationship of the Family Member

Theof the Resident

Landlord's Name

Enter Your Name

This person will be verifying someone else has lived at a street address for a period of time.

Your Street Address

City

State

Zip Code

Mailing Address

Employer's Mailing Address

City

State

Zip Code

Family Member's Street Address

City

State

Zip Code

Landlord's Mailing Address

City

State

Zip Code

Person Claiming Residency

When did the Employee begin their employment?

Employee's Name

The Person whose residency is being verified.

Employee's Street Address

City

State

Zip Code

Full Name

Street Address

City

State

Zip Code

Name of Resident

Resident has been living with the Family Member since

I have lived at this address since

Tenant's Name

Tenant's Street Address

City

State

Zip Code

Tenant has lived here since

Resident's Full Name

Resident's Street Address

City

State

Zip Code

Resident has been at this Address since

Additional Proof

Will there be any Attachments to this Letter?

YesNo

Such as a Lease Agreement, Utility Bill(s), Cell Phone Bill, etc.

List the Attachments:

Authorization

Will you be SIGNING this Letter in the presence of a Notary Public or Witnesses?

YesNo

Choose One (1)

Notary Public (recommended)2 Witnesses1 Witness

eSign

Resident's Signature

Clear

Employer's Signature

Clear

Landlord's Signature

Clear

Family Member's Signature

Clear

Your Signature

Clear

Date of Signature

Letter Date