Proof Of Residency Form printable pdf download

Sycamore School District #427

Tel: 815-899-8100

245 W. Exchange Street

Fax: 815-899-8110

Sycamore, Illinois 60178

Proof of Residency Form

Must be completed for Students New to our District

(Families must also prove residency if they move during the year.)

Dear parent/guardian,

Penalty for falsifying information:

A person who knowingly or willfully provides false information to a school district regarding the residency of a pupil for the

purpose of enabling the pupil to attend any school in the district without the payment of a non-resident tuition charge commits

a class C misdemeanor (not more than 30 days in jail and/or a fine not to exceed $1,500). 105 ILCS 5/10-20.12b and 730

ILCS 5/5-9-1

What does custody mean?

The facts surrounding any temporary transfer of custody will determine whether or not residency has been established. The

mere creation of a guardianship, transfer of custody, or change of address is not sufficient to establish residence for school

attendance purposes. 105 ILCS 5/10-20.12b

What if I am living with a relative or friend?

The relative or friend must be present to show proof of residency. In addition, there needs to be a notarized, signed affidavit

stating that both the resident homeowner and custodial parent are in agreement with this living arrangement.

How do I prove that I live within the district where I want to send my child?

If you own a house, rent an apartment or live with someone within the school district and you are the parent or legal

custodian with whom the child lives, then the school district is required by law to provide the child an education. District 427

requires the following information to prove residency:

Please provide two recent documents from column A AND at least one document from column B showing

proper address:

_____ Signed and dated lease and proof of last month’s

_____ Voter registration card

_____ Current cable bill/phone bill

payment, e.g., canceled check or receipt (renters)

_____ Letter from manager and proof of last month’s

_____ Current gas/electric/water bill

_____ Driver’s license/state identification card

payment, e.g. canceled check or receipt

_____ Current homeowners/renters insurance

_____ Mortgage Papers/Valid Agreement of Sale

papers and premium payment receipt

_____ Most recent Property tax bill and proof of payment,

_____ Current Credit card bill

e.g., canceled check or Form 1098 (homeowners)

_____ Vehicle Registration

_____ Letter of residence from Landlord in lieu of lease

_____ Receipt for moving van rental

(form is available at all schools & the Superintendent’s Office)

_____ Mail received at new residence

_____ Letter of residence to be used when the person

seeking to enroll a student is living with a District

resident

(form is available at all schools & the Superintendent’s

Office

)________________________________________________(name)

Student(s): _________________________________

Address:___________________________________________

Name

Grade/Bldg

_________________________________

Phone:___________________________________

Cell/Home

Name

Grade/Bldg

_________________________________

E-mail address:____________________________________

Name

Grade/Bldg

Proof of residency provided by: _____________________________

________________________________________

Parent/legal guardian signature

Parent/legal guardian printed name

Approved by: ___________________

Building: __________________

Date: _________________

6/2/2016

Proof Of Residency Form

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