Residence Letter From Parent Form – Fill Out and Use This PDF

LETTER OF RESIDENCE FROM LANDLORD IN LIEU OF LEASE

I, __________________________, hereby state that I live at ________________________________

landlordstreet address

____________________, ___________, _____________, _________________________. I am the

citystatezip codetelephone

landlord of the building located at

street address

in the village or city of ____________________. I verify that _____________________________

	city	parent/guardian
and __________________________		reside at _________________________________________
student(s)		street address
within ______________________________________.
District residency
Number of rooms: ________________		Number of bedrooms: _______________

Total number of persons living in unit: ____________

Name of landlord - printed	Name of landlord - signature
Date: ________________________

Signature of Applicant:

Notary Public Signature:

Witnessed and Affirmed this day

of

,

AFFIX SEAL

North Boone Community Unit School District 200	7:60-E1
Students, Exhibit – Letter of Residence from Landlord in Lieu of Lease – Reviewed: June 2006	Page 1 of 2

A person seeking to enroll a child may use this form as evidence of residency when a signed lease is unavailable – other documents will also be required to establish residency. Return this completed form, signed by your landlord, to the Building Principal. The School District reserves the right to evaluate the evidence presented; completing this form does not guarantee admission.

To be completed and signed by the individual enrolling the child and returned to the Principal. Please print.

Child			School
Individual enrolling the child			Home Telephone
Relationship to the child
Residence street address	City		Zip code
Landlord’s name			Landlord’s telephone
Landlord’s address	City		Zip code
Signature of the individual enrolling the student			Date

To be signed by your landlord to verify that you are renting this residence.

I certify that the individuals named above are living in the residence named above for the lease term

of	/	/	through	/	/	.
Landlord’s signature								Date

WARNING: If a student is determined to be a nonresident of the District for whom tuition must be charged, the persons enrolling the student are liable for non-resident tuition from the date the student began attending a District school as a non-resident.

A person who knowingly enrolls or attempts to enroll in this School District on a tuition-free basis a student known by that person to be a nonresident of the district is guilty of a Class C misdemeanor, except in very limited situations as defined in State law (105 ILCS 5/10-20.12b(e).

A person who knowingly or willfully presents to the School District any false information regarding the residency of a student for the purpose of enabling that student to attend any school in that district without the payment of a nonresident tuition charge is guilty of a Class C misdemeanor (105 ILCS 5/10-20.12b(f).

North Boone Community Unit School District 200	7:60-E1
Students, Exhibit – Letter of Residence from Landlord in Lieu of Lease – Reviewed: June 2006	Page 2 of 2