Residency Affidavit Form (Page 2 of 2) in pdf

Residency Affidavit Form Page 2

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Tulsa Public Schools – Verification of Shared Residency Form

2819 S New Haven Ave, Tulsa, OK 74114

Proof of Shared Residency:

If you are sharing a home with another individual or family, please provide:

The Residency Affidavit signed by the Homeowner/Leaseholder and subscribed and sworn before

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a Notary Public.

Homeowner/Leaseholder must provide lease, deed, or mortgage statement AND (1) A current (within

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the past 45 days), original electric, gas or water bill reflecting the service address; OR (2) A bundled

cable/phone service bill reflecting the service address. Cut-off or late notices are not accepted

Parent/Guardian must also provide:

United Postal Service mail in the original envelope which reflects the guardian’s current address.

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PHOTO ID (valid driver’s license or photo state identification).

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NOTE: If legal custody of a child is split between two parents, in addition to the documents listed above, you

must also attach a certified copy of the court order identifying each parent’s respective award of physical

custody. You are responsible to immediately inform the district of any changes to the court order.

Shared Residency Verified by: ________________________________ Date: ____________________

School Official’s Signature

Residency Affidavit Form Page 2