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Explore ReferentThis School Residency Affidavit (the “Affidavit”) is made on [Date] by:
School/District (Optional): [School Name / District]
Student: [Student Full Name], DOB: [DOB], grade (optional): [__]
Residence Address Being Verified: [Street Address, City, State, ZIP]
Move-In Date (If Known): [Date]
1.1 Parent/Guardian Affiant: [Full Name], relationship to student: ☐ parent ☐ legal guardian ☐ other: [**]
Address (if different): [**] | Phone/email: [__]
1.2 Host Household Affiant (If Student Lives With Another Adult):
[Full Name], relationship to student: ☐ grandparent ☐ relative ☐ caregiver ☐ family friend ☐ other: [**]
Phone/email: [**]
2.1 I declare that the student named above resides at the Residence Address listed and that this address is the student’s:
☐ primary residence ☐ temporary residence (explain): [__].
2.2 The student has lived at this address since: [Move-In Date].
3.1 Adults residing in the household (optional): [Names].
3.2 If student lives with host household: reason (optional): ☐ family hardship ☐ caregiver arrangement ☐ other: [__].
3.3 Custody/guardianship documents (if applicable): ☐ attached ☐ not applicable ☐ pending.
4.1 ☐ Lease/mortgage statement (host or parent/guardian)
4.2 ☐ Utility bill (gas/electric/water/internet)
4.3 ☐ Government mail showing address
4.4 ☐ Photo ID for affiant(s)
4.5 ☐ School form(s) required by district
4.6 ☐ Other: [List]
5.1 I declare under penalty of perjury that the statements in this Affidavit are true and correct to the best of my knowledge.
Parent/Guardian Affiant: [Full Name]
Date: [Date]
Signature: ___________________________
Host Household Affiant (If Applicable): [Full Name]
Date: [Date]
Signature: ___________________________
Witness Name: [Name]
Date: [Date]
Signature: ___________________________
State of [State]
County of [County]
On [Date], before me, [Notary Name], personally appeared [Parent/Guardian Affiant Name] (and [Host Household Affiant Name], if applicable), known to me (or satisfactorily proven) to be the person(s) whose name(s) are subscribed to this Affidavit, and acknowledged that they executed it for the purposes stated.
Notary Public Signature: _______________________
My Commission Expires: _______________________
Notary Seal (if applicable): ___________________
Each template already follows legal structure and best practices.
The agreement is automatically filled and adapted to your inputs.
Check the generated document, make edits if needed, and download a ready-to-use agreement.
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
Frequently asked
A School Residency Affidavit is a sworn statement used to confirm a student’s residence within a school district or attendance zone. Schools may require it when a family lacks typical proofs (like a lease or utility bill) or when a student lives with someone other than a parent.
Often a parent or legal guardian signs. If the student lives with another adult (relative or caregiver), that adult may also sign. This template includes both parent/guardian and host household options.
Include the student’s name and date of birth, the residence address, who lives at the address, the relationship to the student, and an affirmation that the information is true. This template also includes a checklist for common supporting documents.
Many schools require notarization. This template includes notarization and an optional witness section.
No. Schools may still require additional enrollment forms, immunization records, and custody/guardianship documents. This affidavit focuses only on residency verification.
AI Lawyer is an AI-powered assistant that helps you create and customize legal and business document templates online. It guides you through key sections, suggests wording, and explains complex concepts in simple language. AI Lawyer does not replace a licensed attorney or provide legal advice, but helps you prepare better documents faster and more confidently.
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