Proof of Residency Letter Template

Date: [Date: March 5, 2026]

To (Organization/Agency): [Requesting Organization Line: Florida Department of Highway Safety and Motor Vehicles, Attn: Residency Verification, 2900 Apalachee Pkwy, Tallahassee, FL 32399 | [email protected]]

From (Writer): [Writer Full Name: Priya Shah]

Relationship to Resident: ☐ Landlord ☐ Property manager ☐ Roommate ☐ Family member ☐ Employer ☐ Other: [Other Relationship: Family member]

Writer Address: [Writer Address: 500 Ocean Dr, Unit 9F, Miami Beach, FL 33139]

Writer Phone/Email: [Writer Contact: (305) 555-0114 | [email protected]]

1. Request Details

1.1 This letter is provided to confirm a current residential address for the purpose described by the requesting organization.

1.2 Requested resident: [Resident Full Name: Samir Khan].

2. Address Verification

2.1 Verified Address: [Verified Address: 500 Ocean Dr, Unit 9F, Miami Beach, FL 33139]

2.2 Residency Start Date: [Residency Start Date: June 1, 2022]

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: The Resident is an immediate family member and has lived in the household at this address continuously since the residency start date.]

4. Contact Availability and Delivery

5. Continuity and Interruptions

5.1 If a verification request is time-sensitive, please use the primary method and follow up with the alternate method in the table below.

5.2 If mail delivery is interrupted or redirected, verification should rely on direct contact with the Writer rather than mail-based assumptions.

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: Priya Shah]

Date: [Signature Date: March 5, 2026]

Signature: ___________________________

Witness (Optional)

Witness Name: ___________________________

Signature: ___________________________

8. Notary Acknowledgment

[Use of Notary Block: Include this section only if the requesting organization asks for notarization.]

Venue: [Notary Venue: State of Florida, County of Miami-Dade]

On [Notary Date: March 5, 2026], before me, [Notary Name: Jordan Ellis], personally appeared [Writer Full Name: Priya Shah] and acknowledged signing this letter for the purposes stated.

Notary Public Signature: _______________________

My Commission Expires: [Commission Expires: January 15, 2028]

Notary Seal: _______________________