Proof of Residency Letter Template
Date: [Date: March 5, 2026]
To (Organization/Agency): [Requesting Organization Line: New York State Department of Motor Vehicles, Attn: Address Verification Unit, 6 Empire State Plaza, Albany, NY 12228 | [email protected]]
From (Writer): [Writer Full Name: Morgan Patel]
Writer Capacity: [Writer Capacity: Landlord]
Writer Address: [Writer Address: 77 W 55th St, Apt 12A, New York, NY 10019]
Writer Phone/Email: [Writer Contact: (212) 555-0199 | [email protected]]
1. Definitions
1.1 “Resident” means the individual whose residency is being confirmed in this letter.
1.2 “Verified Address” means the residential address stated in Section 2 that is being confirmed as the Resident’s current residence.
1.3 “Requesting Organization” means the organization identified in the “To” line above.
2. Resident and Address Details
2.1 Resident Full Name: [Resident Full Name: Casey Rivera]
2.2 Verified Address: [Verified Address: 77 W 55th St, Apt 12A, New York, NY 10019]
2.3 Residency Start Date: [Residency Start Date: September 15, 2023]
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 landlord for the apartment and I manage the lease, rent payments, and building access records for this unit.]
4. Supporting Records Index
Record | Issuer/Source | Date on Record | Address Shown | Notes |
Lease (address page) | Owner/Management | Sep 2023 | Matches Verified Address | Primary occupancy record |
Utility bill | Con Edison | Feb 2026 | Matches Verified Address | [Records Included: Bill shows Resident name and service address] |
Record | Issuer/Source | Date on Record | Address Shown | Notes |
Lease (address page) | Owner/Management | Sep 2023 | Matches Verified Address | Primary occupancy record |
Utility bill | Con Edison | Feb 2026 | Matches Verified Address | [Records Included: Bill shows Resident name and service address] |
Record
Issuer/Source
Date on Record
Address Shown
Notes
Lease (address page)
Owner/Management
Sep 2023
Matches Verified Address
Primary occupancy record
Utility bill
Con Edison
Feb 2026
[Records Included: Bill shows Resident name and service address]
5. Verification Requests and Responses
5.1 Verification requests should be directed to the Writer using the contact information above with the reference: [Letter Reference: NY-RES-0305-26].
5.2 The Writer will respond to reasonable verification inquiries within [Response Window: 2 business days] after receipt.
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 and Receipt
Writer Name (Printed): [Writer Full Name: Morgan Patel]
Date: [Signature Date: March 5, 2026]
Signature: ___________________________
Organization Receipt (Optional)
Received By (Name/Title): ___________________________
Date Received: ___________________________
8. Notary Acknowledgment
[Use of Notary Block: Use this section only if the Requesting Organization asks for notarization.]
Venue: [Notary Venue: State of New York, County of New York]
On [Notary Date: March 5, 2026], before me, [Notary Name: Dana Kim], personally appeared [Writer Full Name: Morgan Patel] and acknowledged signing this letter for the purposes stated.
Notary Public Signature: _______________________
My Commission Expires: [Commission Expires: November 30, 2028]
Notary Seal: _______________________
Record | Issuer/Source | Date on Record | Address Shown | Notes |
Lease (address page) | Owner/Management | Sep 2023 | Matches Verified Address | Primary occupancy record |
Utility bill | Con Edison | Feb 2026 | Matches Verified Address | [Records Included: Bill shows Resident name and service address] |