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

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: ___________________________

Signature: ___________________________

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: _______________________