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

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: _______________________