Letter of Residence from Family Member Template

Date: [Date]

To (Organization/Agency): [School/DMV/Agency/Company Name]
Attn: [Department/Contact Name]
[Address/Email (if known)]

From (Family Member): [Full Name]
Relationship to Resident: [Parent/Grandparent/Sibling/Spouse/Other]
Address: [Street Address, City, State, ZIP]
Phone/Email: [Contact]

1. Resident Information

1.1 Resident Full Name: [Resident Full Name]
1.2 Date of Birth (Optional): [DOB]
1.3 Residence Address Being Verified: [Same as family member address]
1.4 Date Resident Moved In (If Known): [Date]
1.5 Living Arrangement (Optional): ☐ staying temporarily ☐ living long-term ☐ other: [__]

2. Statement of Residence

2.1 I confirm that [Resident Full Name] currently lives with me at [Address].
2.2 To the best of my knowledge, the resident has lived at this address since [Move-In Date].

3. Additional Details (Optional)

3.1 The resident receives mail at this address: ☐ Yes ☐ No.
3.2 Household members (optional): [Names/relationship].
3.3 If the organization requires proof that I live at this address, I can provide the supporting documents listed below.

4. Supporting Documents (Optional)

4.1 Attached (if requested):
☐ Copy of my lease/mortgage statement (redact sensitive info if needed)
☐ Utility bill in my name
☐ Government mail showing my address
☐ Photo ID (copy)
☐ Other: [List]

5. Truthful Statement

5.1 I declare that the statements in this letter are true and correct to the best of my knowledge.

Signatures

Family Member Name: [Full Name]
Date: [Date]
Signature: ___________________________

Notary / Notarization (Optional)

State of [State]
County of [County]

On [Date], before me, [Notary Name], personally appeared [Family Member Full Name], known to me (or satisfactorily proven) to be the person whose name is subscribed to this letter, and acknowledged that they executed it for the purposes stated.

Notary Public Signature: _______________________
My Commission Expires: _______________________
Notary Seal (if applicable): ___________________