Fillable Printable Letter of Residence from Landlord in Lieu of Lease

Letter of Residence from Landlord in Lieu of Lease

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

Indi vidual enroll ing 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 o f t he individual enr olli ng the stud ent

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 kno wingly enrolls or atte mpts to enroll in this Schoo l District on a tuitio n-free basis a student known

by that per so n to be a nonresident of the district is guilty of a Class C misdemeano r , except in very l imited situations

as defined in State law (105 ILCS 5/10-20.12b(e).

A pers on who knowingly or wi llfully p resents to the Sc ho ol District any false information regar ding 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 t uition charge is guilty of a Class C mi s demeanor (105 ILCS 5/10-20.12b(f).

7:60-AP1, E4 Updated: 4-29-2009