7:060-E1 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:  __________________________________________

Telephone Number:  ______________________________

Relationship to the Child:  __________________________________

Residence Address/City/Zip:  ________________________________________

Landlord’s Name: ____________________________  Telephone:  _________________

Landlord’s Address/City/Zip:  _______________________________________

Signature of individual enrolling the student:  ___________________________

Date:  _______________

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

I certify that the individual(s) named above are living in the residence named above for the lease term of ____/____/____ through ____/____/____.

Landlords’ 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).

Date Approved:    June 24, 2009