Letter Of Residence From Landlord In Lieu Of Lease

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

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