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ApplyDate: [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]
1.1 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].
2.1 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.
3.1 Attached/available documents (check all that apply):
☐ Lease/rental agreement
☐ Mortgage statement
☐ Utility bill
☐ Bank statement
☐ Auto/home insurance document
☐ Government mail
☐ Other: [List]
4.1 I declare that the statements in this letter are true and correct to the best of my knowledge.
Applicant: [Full Name]
Date: [Date]
Signature: ___________________________
Affiant/Confirming Person (Optional): [Full Name]
Date: [Date]
Signature: ___________________________
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): ___________________
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For quick answers, scroll below to see the FAQ.
Frequently asked
A proof of residency letter for the DMV is a written statement confirming your current address for driver’s license, state ID, or vehicle registration purposes. Some DMVs accept letters in addition to standard proofs, while others require specific documents (utility bills, lease, etc.).
Often the person seeking DMV service writes it as a self-statement. In other cases, a landlord, homeowner, or leaseholder writes it to confirm the applicant lives at the address. This template supports both options.
Include the applicant’s full name, current address, move-in date (if known), and a truthful statement. This template also includes a space to list attached documents that match DMV requirements.
Sometimes. Some DMV offices request notarized residency statements. This template includes an optional notary block.
DMV rules vary, but common documents include a lease, mortgage statement, utility bill, bank statement, insurance document, or government mail showing the address. Bring originals if required.
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