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Family Member Proof of Residency Letter

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The family member proof of residency letter verifies that someone else lives in the residence. The family member, usually a parent or grandparent, is often used to prove to a school district, university, or to the State government department that an individual has been living on the premises. Commonly, the government agency will require that the start date or total time the family member has been living on the property be included in the letter.

How to Write

Download: Adobe PDF, Microsoft Word (.docx) or Open Document Text (.odt).

1 – The Template To Verify A Family Member’s Residence Must Be Obtained From This Page

This image on this page will present an image of the downloadable file available through the PDF, Word, and ODT buttons in the caption area or through the similarly labeled links above. If you are unable to prepare this document with the requested information on screen because your machine does not have a compatible editing program, then you can view the PDF using your browser then print it directly.

2 – Each Item In the Header Should Be Supplied With The Requested Information

The first area requiring our attention is the header. This area will present several labeled lines in the return address format. Here we will document the name of the Sender on the “Name” line address using the next three blank spaces. The “Street Address,” “City, State,” and “Zip” lines will enable you to quickly document the Sender’s building number, street, apartment number, city, state, and zip code.

The calendar date when this document is prepared should be supplied to the blank space labeled “Date.”

3 – The Declaration Statement In This Form Must Be Supplemented With The Relevant Facts

The body of this template will be composed of two paragraphs – the first of which will contain several blank spaces. We must supply these blank spaces with the appropriate information. We will begin with the first blank space (labeled “Family Member’s Name”). This is the name of the individual who will sign this document thereby testifying to its accuracy. Since the Signature Party’s testimony will concern a Family Member, we must define how these two parties are related on the blank space labeled “Relation.” For example, if the Signature Party is the Family Member’s father, write in the word “father.” Now we will identify the individual whose address must be validated. Supply this Family Member’s full name on the blank space labeled “Resident.” This statement will continue requesting information on the next three blank spaces. Here we will achieve the purpose of this document by filling in the building number, street, and unit number of the Family Member’s residential address on the first blank space following the words “…At The Street Address Of,” the city where this address is located on second blank space after this term, and the applicable state on the third blank space following this phrase. Finally, enter the month, calendar day, and year of the first date when the Family Member moved into the address above.

4 – The Subject’s Family Member Must Submit A Notarized Signature In The Presence Of Two Witnesses

The individual attesting to his or her Family Member’s residence must sign this form on the blank space under the word “Sincerely.” This is the individual identified on the first blank line of the declaration statement. The “Witness Acknowledgment” statement is reserved for the two Witnesses who will observe the signing of this form. Supply the name of the Signature Party on the first blank space in this area. Once each Witness has read this statement, he or she should sign the “Witness Signature” line in one of the areas provided. Additionally, each Witness must print his or her name below the signature and report the current calendar date as his or her signature on the “Date” line. The Notary Public will take control of this document after both Witnesses have completed their tasks. This entity will verify several facts by physically entering them on this document. This information will include where this document was signed when this document was signed, and who was present at the time. At the bottom of the “Notary Acknowledgement” section, the Notary Public will provide his or her signature, credentials, and seal.


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