Proof of Residency Letter Template

Date: [Date: March 5, 2026]

To (Organization/Agency): [Requesting Organization Line: Washington State Department of Licensing, Attn: Residency Review, 1125 Washington St SE, Olympia, WA 98504 | [email protected]]

From (Writer): [Writer Full Name: Jordan Lee]

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

Writer Address: [Writer Address: 410 Pine St, Apt 18, Seattle, WA 98101]

Writer Phone/Email: [Writer Contact: (206) 555-0142 | [email protected]]

1. Digital Verification Options

1.1 This letter confirms residency and includes preferred verification channels to reduce delays and protect unnecessary disclosure.

2. Resident and Verified Address

2.1 Resident Full Name: [Resident Full Name: Taylor Morgan]

2.2 Verified Address: [Verified Address: 410 Pine St, Apt 18, Seattle, WA 98101]

2.3 Residency Start Date: [Residency Start Date: October 1, 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 share the apartment with the Resident and we receive mail and deliveries at this address; I can also confirm the building access and utility arrangements for the unit.]

4. Secure Verification Channels

5. Updates and Change Control

5.1 If the Requesting Organization needs an updated copy of this letter, requests should be sent using a secure channel listed below and should reference: [Letter Reference: WA-RES-0305-26].

5.2 Updated letters will restate the resident name, verified address, and the date of re-issue so reviewers can replace earlier versions.

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: Jordan Lee]

Date: [Signature Date: March 5, 2026]

Signature: ___________________________

Electronic Signature Acceptance

Electronic signature accepted by requesting organization: ☐ Yes ☐ No

8. Notary Acknowledgment

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

Venue: [Notary Venue: State of Washington, County of King]

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

Notary Public Signature: _______________________

My Commission Expires: [Commission Expires: July 31, 2028]

Notary Seal: _______________________