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Roommate Proof of Residency Letter Template
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Roommate Proof of Residency Letter Template
Date: [Date]
To (Organization/Agency): [School/DMV/Agency/Company Name]
Attn: [Department/Contact Name]
[Address/Email (if known)]
From (Writer/Roommate): [Full Name]
Role: ☐ Roommate ☐ Leaseholder ☐ Homeowner ☐ Other: [__]
Address: [Street Address, City, State, ZIP]
Phone/Email: [Contact]
1. Roommate Information
1.1 Roommate/Resident Full Name: [Resident Full Name]
1.2 Date of Birth (Optional): [DOB]
1.3 Residence Address Being Verified: [Street Address, City, State, ZIP]
1.4 Unit/Apt (If Applicable): [Unit/Apt #]
1.5 Move-In Date (If Known): [Date]
2. Statement of Residence
2.1 I confirm that [Resident Full Name] currently lives with me at [Address].
2.2 To the best of my knowledge, the resident has lived at this address since [Move-In Date].
3. Additional Details (Optional)
3.1 The resident receives mail at this address: ☐ Yes ☐ No.
3.2 Lease status (optional): ☐ resident is on the lease ☐ resident is not on the lease ☐ unknown.
3.3 Household members (optional): [Names].
4. Supporting Documents (Optional)
4.1 Attached (if requested):
☐ Copy of lease or rental agreement showing my name/address (redact sensitive info)
☐ Utility bill in my name showing address
☐ Government mail showing my address
☐ Other: [List]
5. Truthful Statement
5.1 I declare that the statements in this letter are true and correct to the best of my knowledge.
Signatures
Writer/Roommate Name: [Full Name]
Date: [Date]
Signature: ___________________________
Notary / Notarization (Optional)
State of [State]
County of [County]
On [Date], before me, [Notary Name], personally appeared [Writer Full Name], known to me (or satisfactorily proven) to be the person whose name is subscribed to this letter, and acknowledged that they executed it for the purposes stated.
Notary Public Signature: _______________________
My Commission Expires: _______________________
Notary Seal (if applicable): ___________________
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Roommate Proof of Residency Letter Template
ROOMMATE PROOF OF RESIDENCY LETTER TEMPLATE FAQ
What is a roommate proof of residency letter?
A roommate proof of residency letter is a written statement confirming that a person lives with you at a specific address. It’s often used when the roommate does not have a lease or utility bill in their name and needs address verification for school, DMV, benefits, banking, or housing.
Who should write it?
Typically a roommate who is on the lease, a homeowner, or the primary account holder for utilities writes and signs the letter. Some organizations may require the writer to be the leaseholder or property owner.
What should be included?
Include the roommate’s full name, the shared address, move-in date (if known), the writer’s relationship (roommate/leaseholder), and the writer’s contact details. This template includes a truthful statement and optional attachments.
Should you attach documents?
Sometimes. The receiving organization may request proof that the writer lives at the address (lease, utility bill) and/or proof the roommate receives mail there. This template includes an attachments checklist.
Does it need notarization?
Sometimes. If notarization is required, use the optional notary block included in this template.
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