Rhode Island Affidavit of Residence

STATE OF RHODE ISLAND

COUNTY OF [County Name]

Introduction:

I, [YOUR NAME], being duly sworn, depose and state:

Statement of Facts:

1. I, [YOUR NAME], declare that I am the [Relationship to Student] of the student in question.

2. We currently reside at [YOUR ADDRESS].

3. Should there be a need to contact me, I can be reached at [YOUR TELEPHONE NUMBER] or via email at [YOUR EMAIL ADDRESS].

4. This information is provided in support of the affidavit to affirm our residency within the specified school district.

5. The student for whom this affidavit is being submitted is [Name of Student], who was born on [Date of Birth of Student].

6. The application is intended for their registration at [Name of School for Registration], which falls within the jurisdiction of our residency as established by this affidavit.

Affirmation of Residency:

I hereby affirm that I am the [state your relationship] of [Name of Student] and that I and [Name of Student] reside at the above-stated address within the [Name of School District] boundaries.

This residence serves as our primary and predominant place of living.

Duration of Residency:

We have resided at the above address since [Date of Move-In] and intend to continue residing at this address.

Supporting Documents:

I understand that this affidavit must be accompanied by at least two of the following documents proving my residence within the district:

• Utility bill (water, gas, electric) from the last 60 days

• Property tax bill or lease agreement

• State Identification or Driver’s License with current address

• Other: [Any other document accepted by the School District]

Penalty for False Statements:

I understand that making a false statement on this affidavit is subject to penalty under the law.

Signed on this [Day] of [Month], [Year].

Signature:

[YOUR NAME]

Subscribed and sworn to before me this [Day] of [Month], [Year].

[NOTARY PUBLIC NAME]

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