Proof of Residency Letter for DMV Template

Date: [Date]

To: Department of Motor Vehicles (DMV) / [State Agency Name]
Attn: [Office/Branch Name (Optional)]
[Office Address (Optional)]

Applicant: [Full Legal Name]
Date of Birth: [DOB]
Driver License/ID No. (Last 4 Only) (Optional): [____]
Phone/Email (Optional): [Contact]

Address Being Verified: [Street Address, City, State, ZIP]
Move-In Date (If Known): [Date]

1. Residency Statement

1.1 I, [Applicant Full Name], confirm that the address listed above is my current: ☐ primary residence ☐ mailing address (if different, list below).
1.2 If mailing address is different (optional): [Mailing Address].
1.3 I have lived at the address since: [Move-In Date].

2. Third-Party Confirmation (Optional)

2.1 If a homeowner/leaseholder is confirming, complete below:

Affiant/Confirming Person: [Full Name]
Relationship to Applicant: ☐ landlord ☐ homeowner ☐ leaseholder ☐ family member ☐ roommate ☐ other: []
Affiant Address (If Different): []
Phone/Email: [__]

2.2 I confirm that [Applicant Full Name] resides at [Address] as stated above.

3. Supporting Documents (Attach as Required)

3.1 Attached/available documents (check all that apply):
☐ Lease/rental agreement
☐ Mortgage statement
☐ Utility bill
☐ Bank statement
☐ Auto/home insurance document
☐ Government mail
☐ Other: [List]

4. Truthful Statement

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

Signatures

Applicant: [Full Name]
Date: [Date]
Signature: ___________________________

Affiant/Confirming Person (Optional): [Full Name]
Date: [Date]
Signature: ___________________________

Notary / Notarization (Optional)

State of [State]
County of [County]

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

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