Proof of Residency Letter Template
Date: [Date: March 5, 2026]
To (Organization/Agency): [Requesting Organization Line: Illinois Secretary of State, Attn: Address Verification, 501 S 2nd St, Springfield, IL 62756 | [email protected]]
From (Writer): [Writer Full Name: Elena Garcia]
Relationship to Resident: ☐ Landlord ☐ Property manager ☐ Roommate ☐ Family member ☐ Employer ☐ Other: [Other Relationship: Employer]
Writer Address: [Writer Address: 200 W Madison St, Suite 1800, Chicago, IL 60606]
Writer Phone/Email: [Writer Contact: (312) 555-0166 | [email protected]]
1. Verification Checklist
1.1 Resident identified by full name.
1.2 Address includes unit number (if any) and ZIP code.
1.3 Residency start month/year stated with best available accuracy.
1.4 Writer contact details provided for follow-up verification.
2. Resident and Address Details
2.1 Resident Full Name: [Resident Full Name: Devon Brooks]
2.2 Verified Address: [Verified Address: 1450 W Foster Ave, Apt 3D, Chicago, IL 60640]
2.3 Residency Start Date: [Residency Start Date: March 1, 2024]
3. Statement of Residency
3.1 I confirm that the Resident currently resides at the Verified Address.
3.2 Basis of knowledge: [Basis of Knowledge: I am the Resident’s employer and I have received employment onboarding records and repeated address confirmations showing the Verified Address as the Resident’s current residence.]
4. Attachments and Redaction Checklist
Item | Attached | Redacted as Needed | Notes |
Lease or rental agreement (address page) | ☐ | ☐ | Attach only if requested |
Utility bill showing verified address | ☐ | ☐ | Prefer most recent statement |
Government or school mail showing address | ☐ | ☐ | Name and address visible |
Other | ☐ | ☐ | [Other Attachment: Pay stub with address line] |
Item | Attached | Redacted as Needed | Notes |
Lease or rental agreement (address page) | ☐ | ☐ | Attach only if requested |
Utility bill showing verified address | ☐ | ☐ | Prefer most recent statement |
Government or school mail showing address | ☐ | ☐ | Name and address visible |
Other | ☐ | ☐ | [Other Attachment: Pay stub with address line] |
Item
Attached
Redacted as Needed
Notes
Lease or rental agreement (address page)
Attach only if requested
Utility bill showing verified address
Prefer most recent statement
Government or school mail showing address
Name and address visible
Other
[Other Attachment: Pay stub with address line]
5. Verification and Correction Process
5.1 Approved verification questions: [Verification Questions Approved: Confirm resident name, verified address, and residency start month only.]
5.2 If an administrative correction is needed (for example, a unit number formatting issue), please request an updated letter by emailing the Writer and referencing the date of this letter.
6. Truthful Statement
6.1 I declare that the statements in this letter are true and correct to the best of my knowledge.
7. Signature
Writer Name: [Writer Full Name: Elena Garcia]
Date: [Signature Date: March 5, 2026]
Signature: ___________________________
Second Verifier (Optional)
Name/Title: ___________________________
8. Notary Acknowledgment
[Use of Notary Block: Include this section only if the requesting organization asks for notarization.]
Venue: [Notary Venue: State of Illinois, County of Cook]
On [Notary Date: March 5, 2026], before me, [Notary Name: Cameron Price], personally appeared [Writer Full Name: Elena Garcia] and acknowledged signing this letter for the purposes stated.
Notary Public Signature: _______________________
My Commission Expires: [Commission Expires: April 20, 2028]
Notary Seal: _______________________
Item | Attached | Redacted as Needed | Notes |
Lease or rental agreement (address page) | ☐ | ☐ | Attach only if requested |
Utility bill showing verified address | ☐ | ☐ | Prefer most recent statement |
Government or school mail showing address | ☐ | ☐ | Name and address visible |
Other | ☐ | ☐ | [Other Attachment: Pay stub with address line] |